Mrs. Theresa Eileen Deveaux
Nurse Practitioner - Acute Care
301 Hospital Dr
Glen Burnie
, Maryland 21061-5803
Mrs. Theresa Eileen Deveaux
Nurse Practitioner - Acute Care
301 Hospital Dr
Glen Burnie
, Maryland 21061-5803
(410) 553-8349
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About
Features
Specialties
- Nurse Practitioner - Acute Care
Languages spoken
- English
Location
First Address
- Mrs. Theresa Eileen Deveaux
- 301 Hospital Drive
- Glen Burnie, MD
- Zip : 21061
- Fax : (410) 553-8349
- Phone : (410) 553-8300
Second Address
- Mrs. Theresa Eileen Deveaux
- 301 Hospital Dr
- Glen Burnie, MD
- Zip : 21061-5803
- Fax : (410) 553-8349
- Phone : (410) 553-8300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2100X | Nurse Practitioner - Acute Care | R093166 | MD |
National Provider Identifier
| NPI | 1013919067 |
|---|---|
| Provider Name | Mrs. Theresa Eileen Deveaux |
| First Address | Glen Burnie, MD 21061 |
| Second Address | Glen Burnie, MD 21061-5803 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/06/2005 |
| Last Update Date | 20/07/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 107423 | AMERIGROUP (01) | MD |
| 22500900 | CIGNA (01) | MD |
| 400067600 | (05) | MD |
| 4992 | BRAVO/ELDER HEALTH (01) | MD |
| 61740701 | CAREFIRST BLUE CROSS MD (01) | MD |
| F591 0008 | CAREFIRST BLUE CROSS DC (01) | DC |
| F5910008 | (02) | MD |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.