KATELYN MIRANDA DEVERAUX NPI 1386225522

NPI Information

Katelyn Miranda Deveraux is a student in an organized health care education training program in Pueblo, CO. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Katelyn Miranda Deveraux NPI is 1386225522. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

902 LAKEVIEW AVE
PUEBLO, CO
ZIP 81004-597
Phone: (719) 557-5855

The NPI 1386225522 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/19/2021 and was last updated on 4/17/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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