Provider Demographics
NPI:1013941574
Name:DEVER, MAUREEN BRIGID (CRNP, ARNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:MAUREEN
Middle Name:BRIGID
Last Name:DEVER
Suffix:
Gender:F
Credentials:CRNP, ARNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1276 LAUREL LN
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-3218
Mailing Address - Country:US
Mailing Address - Phone:215-914-0882
Mailing Address - Fax:
Practice Address - Street 1:FRONT STREET & ERIE AVENUE
Practice Address - Street 2:ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19134
Practice Address - Country:US
Practice Address - Phone:215-427-8112
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP006594D363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics