MEDICARE: DEVIN ROSE MARONEY

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	363LF0000X	Family Nurse Practitioner	0999991	CO

General Provider Information

NPI Number	:	1346072881
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEVIN ROSE MARONEY

Provider Business Mailing Address
First Line	:	2121 E HARMONY RD UNIT 310
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80528-3403
Country	:	US
Telephone Number	:	970-221-3855
Fax Number	:	970-212-1238

Provider Business Practice Location Address
First Line	:	2121 E HARMONY RD UNIT 310
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80528-3403
Country	:	US
Telephone Number	:	970-221-3855
Fax Number	:	970-212-1238

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

Provider Enumeration Date	:	08/14/2024
Last Update Date	:	03/10/2026

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Directions to “ DEVIN ROSE MARONEY ” Practice Location

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