Provider Demographics
NPI:1649598210
Name:DEVERS, SUSAN M (RN, ANP)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:M
Last Name:DEVERS
Suffix:
Gender:F
Credentials:RN, ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5085 W PARK BLVD STE 160
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-2593
Mailing Address - Country:US
Mailing Address - Phone:469-437-3352
Mailing Address - Fax:694-373-3534
Practice Address - Street 1:5085 W PARK BLVD STE 160
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-2593
Practice Address - Country:US
Practice Address - Phone:469-437-3352
Practice Address - Fax:469-437-3353
Is Sole Proprietor?:No
Enumeration Date:2010-05-06
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX657729363LA2200X
TXAP110502363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health