Devon Diclerico Germak in Worcester - Nurse Practitioner

Devon Diclerico Germak - NPI 1962690271

Devon Diclerico Germak is a Nurse Practitioner in Worcester, Massachusetts. Devon Diclerico Germak practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Devon Diclerico Germak is 1962690271. The last update date is 2020-11-03.

Devon Diclerico Germak's current location address is 55 Lake Avenue North, Worcester, Massachusetts. You can contact this provider via phone number 5088565599 and fax number 5088568329. The mailing address for Devon Diclerico Germak is 55 Lake Avenue North, Worcester, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Devon Diclerico Germak
Address 55 Lake Avenue North, Worcester, Massachusetts
Phone Number 5088565599
Fax Number 5088568329
Sole Proprietor N
Credentials ACNP-BC

NPI Number Detail

NPI Number 1962690271
Provider Enumeration Date 2007-10-11
Last Updated Date 2020-11-03

Provider Mailing Address Detail

Address 55 Lake Avenue North
City Worcester
State Massachusetts (MA)
Post Code 16550002
Phone Number 5088565599
Fax Number 5088568329

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No NPP37706
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
110076991A MA --
716081 MA --

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FAQs about Devon Diclerico Germak

What is the Devon Diclerico Germak's unique identification number?

The Devon Diclerico Germak has been assigned the NPI (National Provider Identifier) Number 1962690271 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Devon Diclerico Germak is physically located?

The Devon Diclerico Germak is situated at the following address: 55 Lake Avenue North, Worcester, MA 16550002.

What is Devon Diclerico Germak's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Devon Diclerico Germak is Nurse Practitioner, and the corresponding taxonomy classification code for this specialized field is 363L00000X.

When did Devon Diclerico Germak receive its 1962690271 assignment?

The Devon Diclerico Germak was assigned its 1962690271 on 2007-10-11, which is the date when this unique identifier was issued to the organization.

When was the Devon Diclerico Germak's information last updated?

The Devon Diclerico Germak's information was last updated on 2020-11-03.

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