Doctor Name: | ELIZABETH DEVANEY |
NPI Number: | 1114350865 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, IBCLC |
License Number: | 26NO11110300 |
Business Practice Address: | 25 Mount Herman Way West Caldwell, NJ - 070067241 |
Business Phone Number: | 2018030679 |
Business Fax Number: | |
Mailing Address: | 25 Mount Herman Way, WEST CALDWELL |
State: | NJ |
Postal Code: | 070067241 |
Phone Number: | 2018030679 |
Fax Number: | |
NPI Enumeration Date: | 08/16/2013 |
NPI Last Update Date: | 08/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WL0100X |
License Number: | 26NO11110300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Lactation Consultant |
Taxonomy Definition: |