MEDICARE: DEVYNN SKYE SESLAR RN

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	163WC0200X	Critical Care Medicine Registered Nurse	75670	NM

General Provider Information

NPI Number	:	1043162530
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEVYNN SKYE SESLAR RN

Provider Business Mailing Address
First Line	:	7105 LUELLA ANNE DR NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87109-3909
Country	:	US
Telephone Number	:	424-310-9041
Fax Number	:

Provider Business Practice Location Address
First Line	:	1501 SAN PEDRO DR SE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87108-5153
Country	:	US
Telephone Number	:	505-256-2768
Fax Number	:

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

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	02/10/2026

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