Individual
MS. SHIMANE DEVLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
547 S COUNTRY RD, EAST PATCHOGUE, NY 11772-5546
(631) 875-5350
Mailing address
6 JENNIFER CT, CENTER MORICHES, NY 11934-2714
(631) 875-5350
(585) 504-0083
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F401002 1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F4010021
NY
Other
Enumeration date
10/04/2006
Last updated
01/08/2020
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