Individual
MRS. CAROL MARIE DEVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
100 E LANCASTER AVE, WYNNEWOOD, PA 19096-3450
(484) 476-2000
Mailing address
100 E LANCASTER AVE, WYNNEWOOD, PA 19096-3450
(484) 476-2000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP009489
PA
Other
Enumeration date
10/12/2007
Last updated
06/05/2013
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