Individual provider · Type 1 NPI

Theresa Eileen Deveaux, CRNP

Acute Care Nurse Practitioner · Glen Burnie, MD

NPI number 1013919067 Active

Practice location

301 Hospital Dr
Glen Burnie, MD 21061-5803

Fax (410) 553-8349

Mailing address

301 Hospital Drive
Glen Burnie, MD 21061

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100XR093166 (MD)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1013919067

Theresa Eileen Deveaux, CRNP's National Provider Identifier is 1013919067, issued on Jun 2, 2005. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Glen Burnie, MD. The record was last updated on Jul 20, 2016.