Provider Demographics
NPI:1356484166
Name:DEVLIN, EILEEN M (CNM, MSN)
Entity Type:Individual
Prefix:MS
First Name:EILEEN
Middle Name:M
Last Name:DEVLIN
Suffix:
Gender:F
Credentials:CNM, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6445 N CALLE LOTTIE
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-1970
Mailing Address - Country:US
Mailing Address - Phone:520-797-9370
Mailing Address - Fax:
Practice Address - Street 1:1224 E LOWELL ST BLDG 95
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85721-0095
Practice Address - Country:US
Practice Address - Phone:520-621-4801
Practice Address - Fax:520-626-5736
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN044536367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife