Provider Demographics
NPI:1558327882
Name:DEVRIES, MARGARET R (NP)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:R
Last Name:DEVRIES
Suffix:
Gender:F
Credentials:NP
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 65
Mailing Address - Street 2:58 HOLBROOK DR
Mailing Address - City:SONOITA
Mailing Address - State:AZ
Mailing Address - Zip Code:85637-0065
Mailing Address - Country:US
Mailing Address - Phone:520-455-9261
Mailing Address - Fax:
Practice Address - Street 1:SOUTHERN ARIZONA VA HEALTH CARE SYSTEM
Practice Address - Street 2:3601 S 6TH AVENUE
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85723-0001
Practice Address - Country:US
Practice Address - Phone:520-533-9407
Practice Address - Fax:520-533-2568
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-25
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZRN 031688363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health