Devine, Teri A.

Devine, Teri A. is an individual health care provider with primary practice located at 4700 E 56Th St Ste 100 , Davenport IA 52807-2904. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Devine, Teri A. can be contacted via phone (563) 421-0480.

Contact Information

Primary practice address
4700 E 56Th St Ste 100 Davenport IA 52807-2904
Phone: (563) 421-0480
Fax: (563) 421-0489
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4642-33 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X L-092807 Iowa

Profile Details

NPI number 1629213509
LBN Legal business name Devine, Teri A.
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2008
Last updated Apr 13th, 2021 - 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 1629213509 NPPES
Iowa MEDICAID 1629213509

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