Individual
MS. GRACE MARIE DEVENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 724-3874
Mailing address
11 SEAGATE CIR, SCITUATE, MA 02066-1615
(178) 179-9663
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
237803
MA
363LF0000X
Family Nurse Practitioner
237803
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2017021180
AMERICAN NURSES CREDENTIALING CENTER
MA
01
—
RN237803
STATE OF MASSACHUSETTS
MA
Enumeration date
08/09/2018
Last updated
12/19/2018
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