Individual
DEVON TALBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2741 NE MCBAINE DR, LEES SUMMIT, MO 64064-7880
(816) 554-2600
Mailing address
2550 N THUNDERBIRD CIR STE 303, MESA, AZ 85215-1219
(480) 455-4932
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A005004
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F0117567
AANP
AR
Enumeration date
03/17/2017
Last updated
07/19/2018
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