Individual
JUDITH ELAINE DEVITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
21 W CLARKE AVE, MILFORD, DE 19963-1840
(302) 422-4047
Mailing address
PO BOX 284, MILFORD, DE 19963-0284
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
6 OA00005
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L10009833
LICENSE
DE
Enumeration date
08/05/2006
Last updated
07/08/2007
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