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
363L00000X
Nurse Practitioner
Primary
5009379
NC
363LC0200X
Critical Care Medicine Nurse Practitioner
5009379
NC
363LF0000X
Family Nurse Practitioner
112047
NE
Other
Enumeration date
10/04/2016
Last updated
05/21/2026
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