Doctor Name: | MARNIE DEVLIN |
NPI Number: | 1528469004 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | AP60508181 |
Business Practice Address: | 17639 100th Ave Sw Vashon, WA - 98070 |
Business Phone Number: | 2064633696 |
Business Fax Number: | 2064634576 |
Mailing Address: | Po Box N, VASON |
State: | WA |
Postal Code: | 98070 |
Phone Number: | 2064633696 |
Fax Number: | 2064634576 |
NPI Enumeration Date: | 09/15/2014 |
NPI Last Update Date: | 07/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP60508181 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |