Provider Demographics
NPI:1073022745
Name:TODARO, DEVYN
Entity Type:Individual
Prefix:MRS
First Name:DEVYN
Middle Name:
Last Name:TODARO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DEVYN
Other - Middle Name:
Other - Last Name:BRYAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2160 ROUNDHOUSE RD
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89431-4216
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:480 GALLETTI WAY # 8N
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-5564
Practice Address - Country:US
Practice Address - Phone:775-688-1633
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-26
Last Update Date:2017-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374700000XNursing Service Related ProvidersTechnician
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVSM1035508OtherANTHEM BLUE CROSS BLUE SHIELD