MEDICARE: DEVIN COLLEEN FLYNN NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LW0102X	Women's Health Nurse Practitioner	SP021327	PA

General Provider Information

NPI Number	:	1013521442
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEVIN COLLEEN FLYNN NP

Provider Business Mailing Address
First Line	:	3832 BARING ST APT 2
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-5582
Country	:	US
Telephone Number	:	917-370-9970
Fax Number	:

Provider Business Practice Location Address
First Line	:	933 LIBERTY AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15222-3701
Country	:	US
Telephone Number	:	412-434-8971
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/02/2020
Last Update Date	:	09/02/2020

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