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NPI Code Detail

MEDICARE: DEVYN MORIN FNP

MEDICARE:   DEVYN  MORIN  FNP
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 Practitioner348120NY

General Provider Information

NPI Number : 1932874443
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEVYN MORIN FNP
Provider Business Mailing Address
First Line : 419 18TH ST
Second Line :
City : WEST BABYLON
State : NY
Zip : 11704-2201
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 70 GLEN COVE RD STE 306
Second Line :
City : ROSLYN HEIGHTS
State : NY
Zip : 11577-1731
Country : US
Telephone Number : 516-621-7720
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2021
Last Update Date : 06/08/2022

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Directions to “ DEVYN MORIN FNP” Practice Location

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