Individual
MRS. BLAIR ALLISON DEVERMONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
700 PENNSYLVANIA AVE SE, WASHINGTON, DC 20003-2493
(202) 446-1085
(202) 446-1086
Mailing address
514 13TH ST SE, WASHINGTON, DC 20003-2224
(202) 679-2551
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN1030150
DC
363LA2200X
Adult Health Nurse Practitioner
NP1030150
DC
363LG0600X
Gerontology Nurse Practitioner
Primary
NP1030150
DC
Other
Enumeration date
05/06/2021
Last updated
03/23/2022
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