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STACY LEA DEVOL CCNS

Clinical Nurse Specialist Critical Care Medicine

Marietta, Ohio

Provider NPI: 1164865465

Provider Information:
 STACY LEA DEVOL CCNS


Practice Location:
400 MATTHEW ST STE 401  MARIETTA, OH 45750 US
Tel: 740-374-2252  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N364SC0200XPhysician Assistants & Advanced Practice Nursing Providers
Clinical Nurse Specialist
Critical Care Medicine
OHCOA.13383-NS
Y364SA2100XPhysician Assistants & Advanced Practice Nursing Providers
Clinical Nurse Specialist
OHAPRN.CNS.13383

Other Provider Identifiers:

IssuerNumberStateType
3810027353WV05
0101019OH05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




CRITICAL CARE NURSING JOBS OH - Page 1



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