Individual provider · Type 1 NPI
Kathleen Ann Devarso, CPNP
Pediatric Nurse Practitioner · Freeport, NY
NPI number
1972691707
Active
Practice location
55 N Ocean Ave
Freeport, NY 11520-3035
Fax (516) 223-4962
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | F381099 (NY) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1972691707
Kathleen Ann Devarso, CPNP's National Provider Identifier is 1972691707, issued on Oct 10, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Freeport, NY. The record was last updated on Jul 8, 2007.