Individual
MR. MAUTRICE DEVOY DONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
5306 NC HIGHWAY 55 STE 105, DURHAM, NC 27713-7812
(919) 457-1517
(919) 363-7697
Mailing address
4405 OLD CHAPEL HILL RD, DURHAM, NC 27707-5040
(919) 949-9681
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5017946
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
200349
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
5017946
NC
Other
Enumeration date
06/10/2022
Last updated
04/14/2023
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