Individual
DEVON ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8324 OSWEGO RD STE D, LIVERPOOL, NY 13090-1086
(315) 652-6551
Mailing address
8324 OSWEGO RD STE D, LIVERPOOL, NY 13090-1086
(315) 652-6551
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
348702
NY
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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