Provider Demographics
NPI:1790052504
Name:DEVANEY, JUDY (RN)
Entity Type:Individual
Prefix:MRS
First Name:JUDY
Middle Name:
Last Name:DEVANEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:JUDY
Other - Middle Name:
Other - Last Name:VOSBURG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:100 CALIFORNIA AVENUE
Mailing Address - Street 2:ROESSLEVILLE ELEMENTARY SCHOOL
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12205-2800
Mailing Address - Country:US
Mailing Address - Phone:518-459-2157
Mailing Address - Fax:518-459-0268
Practice Address - Street 1:100 CALIFORNIA AVENUE
Practice Address - Street 2:ROESSLEVILLE ELEMENTARY SCHOOL
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12205-2800
Practice Address - Country:US
Practice Address - Phone:518-459-2157
Practice Address - Fax:518-459-0268
Is Sole Proprietor?:No
Enumeration Date:2011-11-22
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY372873163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool