Doctor Name: | MISS DEVON COURTNEY |
NPI Number: | 1376909226 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | C5-0001043 |
Business Practice Address: | 502 Lantana Dr Hockessin, DE - 197078813 |
Business Phone Number: | 3027633455 |
Business Fax Number: | |
Mailing Address: | 109 Nantucket Dr, MIDDLETOWN |
State: | DE |
Postal Code: | 197098987 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/07/2016 |
NPI Last Update Date: | 01/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | C5-0001043 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DE |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |