Doctor Name: | MS. CAROL A DEVINE |
NPI Number: | 1417088873 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN CNS |
License Number: | RN213232L |
Business Practice Address: | 340 Montage Mountain Rd Moosic, PA - 185071782 |
Business Phone Number: | 5703463686 |
Business Fax Number: | 5703465301 |
Mailing Address: | 340 Montage Mountain Rd, MOOSIC |
State: | PA |
Postal Code: | 185071782 |
Phone Number: | 5703463686 |
Fax Number: | 5703465301 |
NPI Enumeration Date: | 03/08/2007 |
NPI Last Update Date: | 04/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0809X |
License Number: | RN213232L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health, Adult |
Taxonomy Definition: |