Individual
LAUREN MELISSA DEVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NPP
Contact information
Practice address
7559 263RD ST, GLEN OAKS, NY 11004-1150
(718) 470-5750
Mailing address
26405 LANGSTON AVE, APT A, GLEN OAKS, NY 11004-1042
(917) 282-2910
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
554256
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401108
NY
Other
Enumeration date
05/14/2008
Last updated
07/10/2014
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