Provider Demographics
NPI:1407146988
Name:DEVINEY, FAITH LINNAE (REGISTERED NURSE)
Entity Type:Individual
Prefix:MS
First Name:FAITH
Middle Name:LINNAE
Last Name:DEVINEY
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1220 YUCCA CIR
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-7551
Mailing Address - Country:US
Mailing Address - Phone:435-669-6119
Mailing Address - Fax:435-673-9363
Practice Address - Street 1:1220 YUCCA CIR
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-7551
Practice Address - Country:US
Practice Address - Phone:435-669-6119
Practice Address - Fax:435-673-9363
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-18
Last Update Date:2011-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6308109-3102163W00000X, 163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WH0200XNursing Service ProvidersRegistered NurseHome Health