Deveaux, Theresa Eileen
Deveaux, Theresa Eileen is an individual health care provider with primary practice located at 301 Hospital Dr , Glen Burnie MD 21061-5803. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Deveaux, Theresa Eileen can be contacted via phone (410) 553-8300.Contact Information
Primary practice address
301 Hospital Dr
Glen Burnie MD 21061-5803
Phone: (410) 553-8300
Fax: (410) 553-8349
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | R093166 | Maryland |
Profile Details
| NPI number | 1013919067 |
|---|---|
| LBN Legal business name | Deveaux, Theresa Eileen |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2005 |
| Last updated | Jul 20th, 2016 - about 8 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 | 1013919067 | NPPES |
| District of Columbia | Other | F591 0008 | CAREFIRST BLUE CROSS DC |
| District of Columbia | Other | 4992 | CAREFIRST BLUE CROSS DC |
| District of Columbia | Other | 61740701 | CAREFIRST BLUE CROSS DC |
| District of Columbia | MEDICAID | 400067600 | CAREFIRST BLUE CROSS DC |
| District of Columbia | Other | 107423 | CAREFIRST BLUE CROSS DC |
| District of Columbia | Other | 22500900 | CAREFIRST BLUE CROSS DC |
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