Doctor Name: | MRS. SANDRA KAY DEVENY |
NPI Number: | 1619197704 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | APN000620 |
Business Practice Address: | 232 W Bell St Winnemucca, NV - 894453702 |
Business Phone Number: | 7752677628 |
Business Fax Number: | 7759960775 |
Mailing Address: | 232 W Bell St, WINNEMUCCA |
State: | NV |
Postal Code: | 894453702 |
Phone Number: | 7752677628 |
Fax Number: | 7759960775 |
NPI Enumeration Date: | 04/30/2007 |
NPI Last Update Date: | 12/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | APN000620 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NV |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |