Provider Demographics
NPI:1821241399
Name:DEVOR, LAURA EMILY (NP)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:EMILY
Last Name:DEVOR
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:725 S 4TH ST
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CO
Mailing Address - Zip Code:81401-4222
Mailing Address - Country:US
Mailing Address - Phone:970-240-7734
Mailing Address - Fax:970-240-7263
Practice Address - Street 1:725 S 4TH ST
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:CO
Practice Address - Zip Code:81401-4222
Practice Address - Country:US
Practice Address - Phone:970-240-7734
Practice Address - Fax:970-240-7263
Is Sole Proprietor?:No
Enumeration Date:2008-10-28
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CONP 990 008363L00000X
NVAPN001084363L00000X
COAPN.0990008-NP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner