Individual
PAULA LEWIS DEVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNCDE
Contact information
Practice address
465 SAINT MICHAELS DR, SUITE 115, SANTA FE, NM 87505-7670
(505) 946-4307
(505) 946-4308
Mailing address
455 SAINT MICHAELS DR, MEDICAL STAFF OFFICE, SANTA FE, NM 87505-7601
(505) 820-5227
(505) 820-5645
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
R24250
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NM006293
BCBS OF NEW MEXICO
NM
01
—
PROVP12386
HEALTH INSURANCE
NM
Enumeration date
10/12/2005
Last updated
02/19/2008
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