Individual
DEANETTE MARGERY DEVEREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3450 N 3RD ST, PHOENIX, AZ 85012-2331
(602) 257-9339
(602) 265-8533
Mailing address
3450 N 3RD ST, PHOENIX, AZ 85012-2331
(602) 257-9339
(602) 265-8533
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP3421
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP3421
AP
AZ
01
—
RN070984
RN
AZ
Enumeration date
08/24/2009
Last updated
03/07/2023
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