Individual
STEVEN JOSEPH DEVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NPC
Contact information
Practice address
395 S CAPITOL ST, MANY, LA 71449-3049
(318) 256-1136
(318) 256-6237
Mailing address
18470 HIGHWAY 175, MANY, LA 71449-6020
(337) 304-4553
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
TEMPORARY
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TEMPORARY
LA STATE BOARD NURSING
LA
Enumeration date
07/23/2010
Last updated
07/23/2010
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