Provider Demographics
NPI:1770394967
Name:DEVANEY, ELIZABETH MACDONALD (RD)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:MACDONALD
Last Name:DEVANEY
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:SEABROOK
Mailing Address - State:NH
Mailing Address - Zip Code:03874-4807
Mailing Address - Country:US
Mailing Address - Phone:603-770-2710
Mailing Address - Fax:
Practice Address - Street 1:48 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:SEABROOK
Practice Address - State:NH
Practice Address - Zip Code:03874-4807
Practice Address - Country:US
Practice Address - Phone:603-770-2710
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-16
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT91785133V00000X
NH0599133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered