Individual
DIANE MCDEVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP, BC
Contact information
Practice address
203 ORIENTAL AVE, ATLANTIC CITY, NJ 08401-7807
(609) 226-3515
Mailing address
203 ORIENTAL AVE, ATLANTIC CITY, NJ 08401-7807
(609) 226-3515
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
26NJ00050900
NJ
Other
Enumeration date
01/30/2012
Last updated
01/30/2012
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