Individual
DEVON KLAUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP, RN
Contact information
Practice address
1305 YORK AVE., 6TH FLOOR, NEW YORK, NY 10021
(646) 962-6840
Mailing address
1305 YORK AVE., 6TH FLOOR, NEW YORK, NY 10021
(646) 962-6840
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
612304
NY
363LW0102X
Women's Health Nurse Practitioner
Primary
421167
NY
Other
Enumeration date
03/10/2014
Last updated
04/07/2016
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