Provider Demographics
NPI:1679054092
Name:DEVENS, KRISTINE EVE (CPM, LM, EMT)
Entity type:Individual
Prefix:MRS
First Name:KRISTINE
Middle Name:EVE
Last Name:DEVENS
Suffix:
Gender:F
Credentials:CPM, LM, EMT
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Other - First Name:
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Mailing Address - Street 1:1227 SINCLAIR LEWIS AVE
Mailing Address - Street 2:
Mailing Address - City:SAUK CENTRE
Mailing Address - State:MN
Mailing Address - Zip Code:56378-1963
Mailing Address - Country:US
Mailing Address - Phone:320-732-8162
Mailing Address - Fax:320-732-8161
Practice Address - Street 1:939 AYERS ST
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78404-1915
Practice Address - Country:US
Practice Address - Phone:361-883-2229
Practice Address - Fax:888-655-4498
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-23
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN1070176B00000X
TX99445176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife