Individual
GWYNETH LAURIA DEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
215 E 85TH ST, NEW YORK, NY 10028-3108
(212) 360-2600
Mailing address
215 E 85TH ST, NEW YORK, NY 10028-3108
(212) 360-2600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
859499
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
F383494
NY
Other
Enumeration date
01/23/2023
Last updated
02/02/2026
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