Individual provider · Type 1 NPI

Michelle Deveza Gully

Family Nurse Practitioner · San Diego, CA

NPI number 1801557947 Active

Practice location

10737 Camino Ruiz Ste 235
San Diego, CA 92126-2375

Fax (619) 474-4008

Mailing address

637 3rd Ave Ste E1
Chula Vista, CA 91910-5707

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X95019468 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1801557947

Michelle Deveza Gully's National Provider Identifier is 1801557947, issued on Dec 30, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Diego, CA. The record was last updated on Sep 1, 2026.