Individual
MICHELLE MCDEVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
98-1005 MOANALUA RD SPC 400, AIEA, HI 96701-4775
(808) 488-0958
Mailing address
98-1005 MOANALUA RD SPC 400, AIEA, HI 96701-4775
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2734
HI
363LF0000X
Family Nurse Practitioner
APRN-2734
HI
Other
Enumeration date
01/06/2020
Last updated
03/12/2020
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