Devera, Teresita June

Devera, Teresita June is an individual health care provider with primary practice located at 909 Walnut St 2Nd Floor, Philadelphia PA 19107-5211. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Devera, Teresita June can be contacted via phone (215) 955-7000.

Contact Information

Primary practice address
909 Walnut St 2Nd Floor Philadelphia PA 19107-5211
Phone: (215) 955-7000
Fax: (215) 503-9170
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X SP012674 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 26NJ00441900 New Jersey

Profile Details

NPI number 1386985216
LBN Legal business name Devera, Teresita June
Credentials RN, MSN, CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2013
Last updated Oct 16th, 2023 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386985216 NPPES
Pennsylvania MEDICAID 102887231

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