MRS. DEVIN SHAUGHNESSY TETLER AGPCNP-BC NPI 1467859801

NPI Information

NPI: 1467859801
Provider Name: MRS. DEVIN SHAUGHNESSY TETLER, AGPCNP-BC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Organization: YORK HOSPITAL

PECOS Registration: Yes

Address:
180 PARK AVE
PORTLAND, ME
ZIP 04102
Phone: (207) 874-2141
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MRS. Devin Shaughnessy Tetler, AGPCNP-BC is an adult health nurse practitioner in Portland, ME with 10 years of experience. MRS. Devin Shaughnessy Tetler, AGPCNP-BC NPI is 1467859801. 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:

180 PARK AVE
PORTLAND, ME
ZIP 04102-957
Phone: (207) 874-2141
Fax: (207) 874-2164

The NPI 1467859801 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 12/1/2014 and was last updated on 12/1/2014.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	CNP141114	MAINE	Yes
2	363LG0600X	Nurse Practitioner	Gerontology	CNP141114	MAINE	No
3	363LP2300X	Nurse Practitioner	Primary Care	CNP141114	MAINE	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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