Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | SP021327 | PA |
NPI | 1013521442 |
---|---|
Provider Name | Devin Colleen Flynn |
First Address | Philadelphia, PA 19104-5582 |
Second Address | Pittsburgh, PA 15222-3701 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2020 |
Last Update Date | 02/09/2020 |