MEDICARE: MRS. KRISTINE EVE DEVENS CPM, LM, EMT

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	176B00000X	Midwife	1070	MN
2	176B00000X	Midwife	99445	TX

General Provider Information

NPI Number	:	1679054092
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KRISTINE EVE DEVENS CPM, LM, EMT

Provider Business Mailing Address
First Line	:	1227 SINCLAIR LEWIS AVE
Second Line	:
City	:	SAUK CENTRE
State	:	MN
Zip	:	56378-1963
Country	:	US
Telephone Number	:	320-732-8162
Fax Number	:	320-732-8161

Provider Business Practice Location Address
First Line	:	939 AYERS ST
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78404-1915
Country	:	US
Telephone Number	:	361-883-2229
Fax Number	:	888-655-4498

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

Provider Enumeration Date	:	08/23/2018
Last Update Date	:	05/27/2025

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