Individual
MRS. TERI A. DEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4700 E 56TH ST STE 100, DAVENPORT, IA 52807-2904
(563) 421-0480
(563) 421-0489
Mailing address
4700 E 56TH ST STE 100, DAVENPORT, IA 52807-2904
(563) 421-0480
(563) 421-0489
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4642-33
WI
363LA2100X
Acute Care Nurse Practitioner
Primary
L-092807
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629213509
—
IA
Enumeration date
12/08/2008
Last updated
04/13/2021
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