Individual
MRS. TERESITA JUNE DEVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, CRNP
Contact information
Practice address
909 WALNUT ST, 2ND FLOOR, PHILADELPHIA, PA 19107-5211
(215) 955-7000
(215) 503-9170
Mailing address
1 FEDERAL ST STE 200, CAMDEN, NJ 08103-1088
(848) 288-6935
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00441900
NJ
363LA2200X
Adult Health Nurse Practitioner
SP012674
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102887231
—
PA
Enumeration date
03/01/2013
Last updated
10/16/2023
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