Individual
DEVAL PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
21 S. VALLEY FORGE RD., UNIT 100, LANSDALE, PA 19446
(267) 647-6400
(610) 584-5188
Mailing address
21 S. VALLEY FORGE RD., UNIT 100, LANSDALE, PA 19446
(267) 647-6400
(610) 584-5188
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP013169
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP013169
PA STATE LICENSE
PA
Enumeration date
10/01/2013
Last updated
06/09/2016
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