Healthcare Provider Details

I. General information

NPI: 1386483303
Provider Name (Legal Business Name): DEVON NAVARRO RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/20/2024
Last Update Date: 05/20/2024
Certification Date: 05/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 HIGHVIEW RD
DOVER PLAINS NY
12522-5248
US

IV. Provider business mailing address

250 HIGHVIEW RD
DOVER PLAINS NY
12522-5248
US

V. Phone/Fax

Practice location:
  • Phone: 845-797-3170
  • Fax:
Mailing address:
  • Phone: 845-797-3170
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WI0500X
TaxonomyInfusion Therapy Registered Nurse
License Number821461
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number821461
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: