Individual
DEVIN MIA SMALLWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
235 WELLESLEY ST STE 1, WESTON, MA 02493-1571
(781) 640-7556
Mailing address
7 WHITTEMORE TER, WAKEFIELD, MA 01880-2219
(781) 640-7556
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
RN234752
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN234752
MA
Other
Enumeration date
08/14/2024
Last updated
03/04/2026
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