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NPI Code Detail

MEDICARE: STEPHANIE G DEVER APRN, PMHNP-BC

MEDICARE: STEPHANIE G DEVER APRN, PMHNP-BC
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner146565MT

General Provider Information

NPI Number : 1427314632
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE G DEVER APRN, PMHNP-BC
Provider Business Mailing Address
First Line : 300 GARNET WAY
Second Line :
City : WARM SPRINGS
State : MT
Zip : 59756-9700
Country : US
Telephone Number : 406-693-7000
Fax Number :
Provider Business Practice Location Address
First Line : 300 GARNET WAY
Second Line :
City : WARM SPRINGS
State : MT
Zip : 59756-9700
Country : US
Telephone Number : 406-693-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2012
Last Update Date : 09/22/2020

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