Healthcare Provider Details

I. General information

NPI: 1831521087
Provider Name (Legal Business Name): DEVON MARIE CARSON CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2013
Last Update Date: 07/11/2025
Certification Date: 07/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 STOOPS DR STE 200
MONONGAHELA PA
15063-3554
US

IV. Provider business mailing address

100 STOOPS DR STE 200
MONONGAHELA PA
15063-3554
US

V. Phone/Fax

Practice location:
  • Phone: 724-483-4083
  • Fax: 866-950-7003
Mailing address:
  • Phone: 724-483-4083
  • Fax: 866-950-7003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP012998
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: