Individual
MS. DEVON DICLERICO GERMAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
55 LAKE AVENUE NORTH, DEPARTMENT OF SURGERY, WORCESTER, MA 01655-0002
(508) 856-5599
(508) 856-8329
Mailing address
121 INTERVALE RD, CHESTNUT HILL, MA 02467-1166
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
267790
MA
363L00000X
Nurse Practitioner
NPP37706
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0716081
—
MA
05
—
110076991A
—
MA
Enumeration date
10/11/2007
Last updated
07/28/2025
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