Provider Demographics
NPI:1477665354
Name:DEVENS, ELIZABETH ANN (PMHCNS-BC APRN)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:ANN
Last Name:DEVENS
Suffix:
Gender:F
Credentials:PMHCNS-BC APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 ELECTRIC AVE SUITE 204
Mailing Address - Street 2:CAC WORCESTER
Mailing Address - City:FITCHBURG
Mailing Address - State:MA
Mailing Address - Zip Code:01420
Mailing Address - Country:US
Mailing Address - Phone:978-345-9400
Mailing Address - Fax:978-345-9411
Practice Address - Street 1:33 ELECTRIC AVE SUITE 204
Practice Address - Street 2:
Practice Address - City:FITCHBURG
Practice Address - State:MA
Practice Address - Zip Code:01420
Practice Address - Country:US
Practice Address - Phone:978-345-9400
Practice Address - Fax:978-345-9411
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2016-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA99816163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult