Individual
STEPHEN S DEVANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1025 MARSH ST, MANKATO, MN 56001
(507) 345-2623
(507) 389-4685
Mailing address
228 PALANCAR AVE, MANKATO, MN 56001
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R165907-8
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
083G5DE
BLUE CROSS BLUE SHIELD
MN
01
—
132311
UCARE
—
01
—
2002418
MEDICA
—
01
—
967551041127
PREFERRED ONE
—
01
—
HP57708
HEALTH PARTNERS
—
Enumeration date
09/27/2006
Last updated
11/20/2007
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