Individual
MRS. DEVIN SHAUGHNESSY TETLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
180 PARK AVE, PORTLAND, ME 04102-2957
(207) 874-2141
(207) 874-2164
Mailing address
180 PARK AVE, PORTLAND, ME 04102-2957
(207) 874-2141
(207) 874-2164
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
CNP141114
ME
363LG0600X
Gerontology Nurse Practitioner
CNP141114
ME
363LP2300X
Primary Care Nurse Practitioner
CNP141114
ME
Other
Enumeration date
12/01/2014
Last updated
10/23/2024
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