Devoe, Mary Ann

Devoe, Mary Ann is an individual health care provider with primary practice located at 3202 Mcintosh Cir Ste 102, Joplin MO 64804-3646. 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. Devoe, Mary Ann can be contacted via phone (417) 347-8688.

Contact Information

Primary practice address
3202 Mcintosh Cir Ste 102 Joplin MO 64804-3646
Phone: (417) 347-8688
Fax: (417) 347-8693
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 129116 Missouri

Profile Details

NPI number 1235165721
LBN Legal business name Devoe, Mary Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2006
Last updated May 14th, 2015 - about 9 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 1235165721 NPPES
Other 500019747 RR MEDICARE
Other 118126 RR MEDICARE
MEDICAID 100023320A RR MEDICARE
MEDICAID 100335980A RR MEDICARE
MEDICAID 423962208 RR MEDICARE

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