Provider Demographics
NPI:1194594341
Name:BUDHU, DEVINA (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:DEVINA
Middle Name:
Last Name:BUDHU
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2403 MARACAIBO DR
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34746-3456
Mailing Address - Country:US
Mailing Address - Phone:407-744-4333
Mailing Address - Fax:
Practice Address - Street 1:2403 MARACAIBO DR
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34746-3456
Practice Address - Country:US
Practice Address - Phone:407-744-4333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-29
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLF12230590363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily