Individual
NICOLE MCDEVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1412 N 2ND ST, ATCHISON, KS 66002-1203
(913) 246-3560
Mailing address
1412 N 2ND ST, ATCHISON, KS 66002-1203
(913) 246-3560
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
23-44180-121
KS
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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