| Doctor Name: | MRS. THERESA EILEEN DEVEAUX |
| NPI Number: | 1013919067 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | R093166 |
| Business Practice Address: | 301 Hospital Dr Glen Burnie, MD - 210615803 |
| Business Phone Number: | 4105538300 |
| Business Fax Number: | 4105538349 |
| Mailing Address: | 405 Virginia Ave, PASADENA |
| State: | MD |
| Postal Code: | 211225471 |
| Phone Number: | 4105538300 |
| Fax Number: | 4105538349 |
| NPI Enumeration Date: | 06/02/2005 |
| NPI Last Update Date: | 12/03/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | R093166 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |