Individual
MS. LORETTA ANN DEVIVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN-C
Contact information
Practice address
1627 CHEW ST, ALLENTOWN, PA 18102-3648
(610) 969-3390
(610) 969-3393
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
26NJ00672700
NJ
363LG0600X
Gerontology Nurse Practitioner
Primary
SP016766
PA
Other
Enumeration date
09/27/2016
Last updated
03/06/2017
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