NPI 1417051921 · live from the CMS NPI Registry
N Devonna A'Belle, PA-C, DMSc
Physician Assistant, Medical in Tulsa, OK. National Provider Identifier 1417051921, active.
NPI record
| NPI | 1417051921 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 4705 S 129th East Ave, Tulsa, OK 74134 |
| Practice phone | 918-727-2790 |
| Mailing address | 18555 S Park Pl, Inola, OK 74036 |
| Enumerated | September 13, 2006 |
| Last updated | March 3, 2021 |
| Sole proprietor | No |
| Other names | Nila Grover |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | — |
| Physician Assistant, Medical | 363AM0700X | — |
| Physician Assistant, Medical | 363AM0700X | PA 464 (OK) |
| Physician Assistant, Medical primary | 363AM0700X | 464 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.