Provider Demographics
NPI:1396022091
Name:DEVITT, ANNA C (MSN, FNP-BC, APNP)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:C
Last Name:DEVITT
Suffix:
Gender:F
Credentials:MSN, FNP-BC, APNP
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:C
Other - Last Name:WEYRAUCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, FNP-BC, APNP
Mailing Address - Street 1:7 BUCKLAND RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH WINDSOR
Mailing Address - State:CT
Mailing Address - Zip Code:06074-3764
Mailing Address - Country:US
Mailing Address - Phone:860-698-4301
Mailing Address - Fax:
Practice Address - Street 1:7 BUCKLAND RD
Practice Address - Street 2:
Practice Address - City:SOUTH WINDSOR
Practice Address - State:CT
Practice Address - Zip Code:06074-3764
Practice Address - Country:US
Practice Address - Phone:860-698-4301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-08
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT12.007880363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty