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Devin Veronica Parker
Pediatric Nurse Practitioner in Medford, New York
NPI 1417508946

Devin Veronica Parker is a Pediatric Nurse Practitioner based in Medford, NY and is specialized in Pediatrics. Devin Veronica Parker practices in Medford, NY. The NPI Number for Devin Veronica Parker is 1417508946 and holds a License No. 383214 (New York).

The current practice location address for Devin Veronica Parker is 2799 Route 112 Ste 7&11, Medford, NY and can be reached out via phone at 631-732-5222.

Location: 2799 Route 112 Ste 7&11, Medford, NY, 11763-2535
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417508946
Provider Name
Devin Veronica Parker
Credential
Provider Entity Type
Individual
Gender
Female
Address
2799 Route 112 Ste 7&11, Medford, NY, 11763-2535
Phone Number
631-732-5222
Fax Number
Provider Enumeration Date
09/25/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1417508946 05 NY
institution
Provider Business Practice Location Address Details
Address
2799 Route 112 Ste 7&11
City
Medford
State
New York
Zip
11763-2535
Phone Number
631-732-5222
Fax Number
person
Provider Business Mailing Address Details
Address
2799 Route 112 Ste 7&11
City
Medford
State
New York
Zip
11763-2535
Phone Number
631-732-5222
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
383214 (New York)
Definition
Definition to come...
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