Provider Demographics
NPI:1699246314
Name:MCDEVITT, BRIANA C (CRNP)
Entity type:Individual
Prefix:
First Name:BRIANA
Middle Name:C
Last Name:MCDEVITT
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:BRIANA
Other - Middle Name:C
Other - Last Name:RODGERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 13579
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19612-3579
Mailing Address - Country:US
Mailing Address - Phone:484-628-1324
Mailing Address - Fax:
Practice Address - Street 1:680 HEACOCK RD
Practice Address - Street 2:
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:19067-6346
Practice Address - Country:US
Practice Address - Phone:215-493-8040
Practice Address - Fax:215-493-6704
Is Sole Proprietor?:No
Enumeration Date:2018-12-06
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP019689363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
PASP019689OtherCRNP PEDIATRIC PRIMARY CARE LICENSE