Individual
THERESA DEVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,NP
Contact information
Practice address
942 W CHESTNUT ST STE 2, BROCKTON, MA 02301-5567
(508) 583-3005
Mailing address
73 LITCHFIELD LN, HANSON, MA 02341-1009
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN 202852
MA
Other
Enumeration date
04/24/2012
Last updated
04/24/2012
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