Individual provider · Type 1 NPI

Lillian Regina Devine, NP-C

Primary Care Nurse Practitioner · Cheyenne, WY

NPI number 1609461599 Active

Practice location

5050 Powderhouse Rd
Cheyenne, WY 82009-4800

Fax (307) 634-1271

Specialties and licenses

TaxonomyCodeLicense
Gerontology Registered Nurse 163WG0600X46259 (WY)
Primary Care Nurse Practitioner Primary 363LP2300X46259 (WY)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1609461599

Lillian Regina Devine, NP-C's National Provider Identifier is 1609461599, issued on Mar 3, 2021. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Cheyenne, WY. The record was last updated on Sep 27, 2021.