Individual
MRS. AMY S DEAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7668 N STATE ST, LOWVILLE, NY 13367-1353
(315) 376-9007
(315) 376-9006
Mailing address
7668 N STATE ST, LOWVILLE, NY 13367-1353
(315) 376-9007
(315) 376-9006
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
327102
NY
Other
Enumeration date
12/15/2011
Last updated
12/15/2011
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