person
Johanna Devine
Family Nurse Practitioner in Annapolis, Maryland
NPI 1801377304

Johanna Devine is a Family Nurse Practitioner based in Annapolis, MD and is specialized in Family. Johanna Devine practices in Annapolis, MD. The NPI Number for Johanna Devine is 1801377304 and holds a License No. R201720 (Maryland).

The current practice location address for Johanna Devine is 2003 Medical Pkwy Ste 150, Annapolis, MD and can be reached out via phone at 443-481-1199 and via fax at 443-481-1495.

Location: 2003 Medical Pkwy Ste 150, Annapolis, MD, 21401-8391
person
Provider Profile Details
NPI Number
1801377304
Provider Name
Johanna Devine
Credential
Provider Entity Type
Individual
Gender
Female
Address
2003 Medical Pkwy Ste 150, Annapolis, MD, 21401-8391
Phone Number
443-481-1199
Fax Number
443-481-1495
Provider Enumeration Date
08/23/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
747365 01 MD MEDICARE
777675600 05 MD
institution
Provider Business Practice Location Address Details
Address
2003 Medical Pkwy Ste 150
City
State
Zip
21401-0317
Phone Number
443-481-1199
Fax Number
443-481-1495
person
Provider Business Mailing Address Details
Address
2003 Medical Pkwy Ste 150
City
State
Zip
21401-0317
Phone Number
443-481-1199
Fax Number
443-481-1495
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R201720 (Maryland)
Definition
Definition to come...
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