Devereaux, Michelle A

Devereaux, Michelle A is an individual health care provider with primary practice located at 4730 Chicago Ave , Minneapolis MN 55407-3570. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Devereaux, Michelle A can be contacted via phone (952) 883-6805.

Contact Information

Primary practice address
4730 Chicago Ave Minneapolis MN 55407-3570
Phone: (952) 883-6805
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 481 Minnesota

Profile Details

NPI number 1164496535
LBN Legal business name Devereaux, Michelle A
Credentials Gerontological Nurse Practitioner (GNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Aug 13th, 2020 - about 4 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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