Individual provider · Type 1 NPI

Devin Shaughnessy Tetler, AGPCNP-BC

Adult Health Nurse Practitioner · Portland, ME

NPI number 1467859801 Active

Practice location

180 Park Ave
Portland, ME 04102-2957

Fax (207) 874-2164

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600XCNP141114 (ME)
Primary Care Nurse Practitioner 363LP2300XCNP141114 (ME)
Adult Health Nurse Practitioner Primary 363LA2200XCNP141114 (ME)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1467859801

Devin Shaughnessy Tetler, AGPCNP-BC's National Provider Identifier is 1467859801, issued on Dec 1, 2014. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Portland, ME. The record was last updated on Oct 23, 2024.