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Individual

LOUISE MCDEVITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, FNP, ANP

Contact information

Practice address
1154 VT ROUTE 30, TOWNSHEND, VT 05353-9724
(802) 365-4354
Mailing address
PO BOX 206, TOWNSHEND, VT 05353-0206
(802) 365-4354

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1010017241
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
VN0834
MEDICARE GROUP PROVIDER
VT
Enumeration date
10/31/2005
Last updated
11/05/2007
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