Provider Demographics
NPI:1508518572
Name:MORELOS, DEVI DY (FNP)
Entity Type:Individual
Prefix:
First Name:DEVI
Middle Name:DY
Last Name:MORELOS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:DEVI DAWN
Other - Middle Name:TOMBOC
Other - Last Name:DY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9300 EVERLY DR
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76542-2103
Mailing Address - Country:US
Mailing Address - Phone:312-619-2937
Mailing Address - Fax:
Practice Address - Street 1:9300 EVERLY DR
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76542-2103
Practice Address - Country:US
Practice Address - Phone:312-619-2937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-21
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1068133363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily