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NPI Code Detail

MEDICARE: AUTUMN MCDEVITT BSN, RN

MEDICARE:   AUTUMN  MCDEVITT  BSN, 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
1251J00000XNursing Care Agency
2163WP0200XPediatric Registered Nurse041491700IL

General Provider Information

NPI Number : 1336956572
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUTUMN MCDEVITT BSN, RN
Provider Business Mailing Address
First Line : 114 E MAIN ST
Second Line :
City : ROCHESTER
State : IL
Zip : 62563-9507
Country : US
Telephone Number : 217-801-5280
Fax Number :
Provider Business Practice Location Address
First Line : 114 E MAIN ST
Second Line :
City : ROCHESTER
State : IL
Zip : 62563-9507
Country : US
Telephone Number : 217-801-5280
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2024
Last Update Date : 08/13/2025

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Directions to “ AUTUMN MCDEVITT BSN, RN” Practice Location

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