Devalk, Marcia
Devalk, Marcia is an individual health care provider with primary practice located at 7066 Stillwater Blvd N , Oakdale MN 55128-3937. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent is her primary health care specialty. Devalk, Marcia can be contacted via phone (651) 777-5222.Contact Information
Primary practice address
7066 Stillwater Blvd N
Oakdale MN 55128-3937
Phone: (651) 777-5222
Fax: (651) 777-5222
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | 1462896 | Minnesota |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 035189102 | Minnesota |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent | 364SP0807X | 035189102 | Minnesota |
Profile Details
NPI number | 1376618421 |
---|---|
LBN Legal business name | Devalk, Marcia |
Credentials | RN, CNS, MS |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 22nd, 2006 |
Last updated | Aug 10th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1376618421 | NPPES |
Minnesota | Other | 432686500 | MEDICAL ASSISTANCE |
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