Individual
ANDREW MCDEVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1004 HEALTH CENTER DR STE 212, MATTOON, IL 61938-4605
(217) 238-4961
(217) 238-4962
Mailing address
PO BOX 372, MATTOON, IL 61938-0372
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209.020538
IL
363LF0000X
Family Nurse Practitioner
Primary
209020538
IL
Other
Enumeration date
02/14/2020
Last updated
11/05/2024
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