Individual
REGINA DEVLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP, IBCLC, PMHS
Contact information
Practice address
8365A GREENSBORO DR, MCLEAN, VA 22102-3530
(703) 356-4444
(703) 734-0129
Mailing address
8365A GREENSBORO DR, MC LEAN, VA 22102-3530
(703) 356-4444
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0024109557
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001109557
MULTI-STATE PRIVILEGE
VA
01
—
0017136894
AUTH. TO PRESCRIBE VAONLY
VA
01
—
0024109557
VA STATE LICENSE
VA
Enumeration date
05/07/2007
Last updated
05/13/2019
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