Individual
RAECHEL DEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-BC
Contact information
Practice address
90 PRESIDENTIAL PLAZA, SYRACUSE, NY 13202
(315) 464-4686
(315) 464-7106
Mailing address
90 PRESIDENTIAL PLZ, SYRACUSE, NY 13202-2240
(315) 464-4686
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F308436-1
NY
Other
Enumeration date
11/08/2017
Last updated
01/08/2021
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