Individual
AMANDA RAY DEVANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
13861 HULL STREET RD, MIDLOTHIAN, VA 23112-2091
(804) 739-0910
Mailing address
PO BOX 281814, ATLANTA, GA 30384-1814
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0024182718
VA
363LF0000X
Family Nurse Practitioner
Primary
0024182718
VA
Other
Enumeration date
10/13/2021
Last updated
11/11/2021
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