Individual
MICHELE LISA DEVITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, DNP
Contact information
Practice address
155 MEMORIAL DR, PINEHURST, NC 28374-8710
(910) 715-2164
(910) 715-1247
Mailing address
PO BOX 40908, ATTN. MANAGED CARE PLANNING, FAYETTEVILLE, NC 28309
(910) 615-6949
(910) 615-9761
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
5009379
NC
363LF0000X
Family Nurse Practitioner
112047
NE
Other
Enumeration date
10/04/2016
Last updated
06/28/2022
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