Individual
LAURA M DEVORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3191 HARBOR BLVD STE A, PORT CHARLOTTE, FL 33952-6755
(239) 690-6906
Mailing address
4424 LAKE HEATHER CIR, SAINT JAMES CITY, FL 33956-2614
(419) 341-0198
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11033292
FL
Other
Enumeration date
06/27/2024
Last updated
10/01/2024
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