Michelle A Devereaux, GNP
NPI #1164496535 in Minneapolis, Minnesota
Provider Information
- NPI Number
- 1164496535
- Entity Type
- Individual
- Name
- Michelle A Devereaux, GNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- GNP
- Enumeration Date
- Feb 14, 2006
- Last Updated
- Aug 13, 2020
Practice Location
- Address
- 4730 CHICAGO AVE
- City
- Minneapolis
- State
- Minnesota
- ZIP Code
- 55407-3570
- Phone
- (952) 883-6805
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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