NPI 1417088873 · live from the CMS NPI Registry
Carol A Devine, RN CNS
Registered Nurse, Psych/Mental Health, Adult in Moosic, PA. National Provider Identifier 1417088873, active.
NPI record
| NPI | 1417088873 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Psych/Mental Health, Adult 163WP0809X |
| Practice location | 340 Montage Mountain Rd, Moosic, PA 18507 |
| Practice phone | 570-346-3686 |
| Enumerated | March 8, 2007 |
| Last updated | April 19, 2010 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Psych/Mental Health, Adult primary | 163WP0809X | RN213232L (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.