Devine, William Francis

Devine, William Francis is an sole proprietor health care provider with primary practice located at 2187 Swanson Ave , Lake Havasu City AZ 86403-6838. He recently has 2 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 is his primary health care specialty. Devine, William Francis can be contacted via phone (928) 855-3432.

Contact Information

Primary practice address
2187 Swanson Ave Lake Havasu City AZ 86403-6838
Phone: (928) 855-3432
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 2008006146 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2018025246 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 229481 Arizona

Profile Details

NPI number 1760766208
LBN Legal business name Devine, William Francis
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2011
Last updated Sep 21st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1760766208 NPPES
Arizona MEDICAID 498748

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