Individual
RUTH DEVEREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
602 LEONA ST, ELYRIA, OH 44035-2404
(440) 322-7526
(440) 324-2183
Mailing address
602 LEONA ST, ELYRIA, OH 44035-2404
(440) 322-7526
(440) 324-2183
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
NP04145
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2075794
—
OH
Enumeration date
03/28/2007
Last updated
07/08/2007
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