Individual
MIRIAH LEE DEVEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 VA CTR, AUGUSTA, ME 04330-6719
(207) 623-8411
Mailing address
1 VA CTR, AUGUSTA, ME 04330-6719
(207) 623-8411
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
CNP191066
ME
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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