Individual
ELIZABETH DEVEREUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
279 TROY ROAD, FAMILY MEDICAL GROUP, RENSSELAER, NY 12144-9756
(518) 286-1922
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
339203
NY
363LF0000X
Family Nurse Practitioner
Primary
339203
NY
Other
Enumeration date
10/02/2014
Last updated
04/23/2026
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