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NPI Code Detail

MEDICARE: LYNZY MARIE DEVARY ARNP

MEDICARE: LYNZY MARIE DEVARY ARNP
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
1363LF0000XFamily Nurse PractitionerA156207IA

General Provider Information

NPI Number : 1598307647
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYNZY MARIE DEVARY ARNP
Provider Business Mailing Address
First Line : 1316 S MAIN ST
Second Line :
City : CLARION
State : IA
Zip : 50525-2019
Country : US
Telephone Number : 156-029-8335
Fax Number : 319-343-1161
Provider Business Practice Location Address
First Line : 5901 THORNTON AVE STE 101
Second Line :
City : DES MOINES
State : IA
Zip : 50321-2422
Country : US
Telephone Number : 515-327-2000
Fax Number : 515-327-2019
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2019
Last Update Date : 08/14/2024

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Directions to “ LYNZY MARIE DEVARY ARNP” Practice Location

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