National Provider Identifier
Mary M Deveau, FNP
Mary M Deveau, FNP is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Buffalo, NY and a listed phone number of (716) 845-2300.
Profile Overview
- NPI
- 1548463664
- Provider Type
- Individual
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- June 06, 2007
- Last Updated
- January 07, 2021
Practice Location
- Elm And Carlton Streets
- Buffalo, NY 14263
Phone: (716) 845-2300
Mailing Address
- Elm And Carlton St
- Buffalo, NY 14263-0001
Specialties
- Nurse Practitioner (363L00000X)
- Family Nurse Practitioner (363LF0000X)
Full Record
- NPI
- 1548463664
- Entity Type
- Individual
- Last Name
- Deveau
- First Name
- Mary
- Middle Name
- M
- Credential
- FNP
- Provider Other Last Name
- Berry
- Provider Other First Name
- Mary
- Provider Other Middle Name
- D
- Provider Other Credential Text
- FNP
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- Elm And Carlton St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14263-0001
- Mailing Country
- US
- Mailing Phone
- (716) 845-2300
- Mailing Fax
- (716) 845-1668
- Practice Street Address
- Elm And Carlton Streets
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14263
- Practice Country
- US
- Practice Phone
- (716) 845-2300
- Practice Fax
- (716) 845-1668
- Enumeration Date
- June 06, 2007
- Last Updated
- January 07, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 07, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Nurse Practitioner (363L00000X), Family Nurse Practitioner (363LF0000X)
- Other Identifiers
- 02960061 (NY)