Provider Demographics
NPI:1154882165
Name:DEVANNEY, ERIN KATHRYN (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:KATHRYN
Last Name:DEVANNEY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:801 YORK ST
Mailing Address - Street 2:
Mailing Address - City:MANITOWOC
Mailing Address - State:WI
Mailing Address - Zip Code:54220-4630
Mailing Address - Country:US
Mailing Address - Phone:920-663-9008
Mailing Address - Fax:920-684-1439
Practice Address - Street 1:4711 S CROATAN HWY STE 6B
Practice Address - Street 2:
Practice Address - City:NAGS HEAD
Practice Address - State:NC
Practice Address - Zip Code:27959-8997
Practice Address - Country:US
Practice Address - Phone:252-441-0515
Practice Address - Fax:252-441-0531
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-31
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5016076363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily