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LIAM CHRISTOPHER DEVLIN FNP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1497815609

Individual Registrant:
 LIAM CHRISTOPHER DEVLIN FNP
Gender: M
Not Sole Proprietor

Location and contact information for practice:
172 MAIN ST.  SAND POINT, AK 99661 US
Tel: 907-383-3151  Fax: 907-383-6074

Contact information for business:
1200 W 45TH AVE  ANCHORAGE, AK 99503-6902 US
Tel: 907-277-1440  Fax: 907-277-1446

Registration Information:
NPI: 1497815609
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
AK144

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
CL 6515AK05
CL 9107AK05
CL 9171AK05
CL 1391AK05




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