1023520327 NPI number — MRS. MICHELLE LYNNE DEVOLL AGACNP

Table of content: MRS. MICHELLE LYNNE DEVOLL AGACNP (NPI 1023520327)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023520327 NPI number — MRS. MICHELLE LYNNE DEVOLL AGACNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DEVOLL
Provider First Name:
MICHELLE
Provider Middle Name:
LYNNE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
AGACNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1023520327
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/27/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1821
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ZANESVILLE
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43702-1821
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
740-455-3304
Provider Business Mailing Address Fax Number:
740-455-3686

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3620 COURT DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ZANESVILLE
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43701-6456
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
740-454-5000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/27/2017

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363L00000X , with the licence number:  CNP021941 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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