MR. WILLIAM FRANCIS DEVINE (NPI# 1760766208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760766208 |
Entity Type | Individual |
Full Name | MR. WILLIAM FRANCIS DEVINE |
Credential | PMHNP-BC |
Practice Address |
2187 Swanson Ave Lake Havasu City AZ 86403-6838 |
Mailing Address |
166 Christina Marie Dr O Fallon MO 63368-7872 |
Practice Telephone | 9288553432 |
Mailing Telephone | 3144439228 |
Enumeration Date | 2011-10-03 |
Last Update Date | 2020-09-21 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 2008006146 | MO | Nursing Service Providers |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
229481 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
2018025246 | MO | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 498748 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
500 Indiana Ave, Winslow, AZ 860472169 | 9282894646 | 9282896225 |
5000 Cedar Plaza Pkwy Ste 350, Saint Louis, MO 631283859 | 3148434333 | 3148434856 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619287679 | William Stephen Devine | Counselor | 8 Chelsea Blvd, Third Floor, Houston, TX 77006 | 2010-10-08 |
1699745646 | William Gregory Devine Jr. | Anesthesiology | 312 W Lexington Ave, Danville, KY 40422-1410 | 2006-01-24 |
1902419963 | William Riley Devine | Pharmacist | 208 W Ironwood Dr, Coeur D Alene, ID 83814-2640 | 2020-08-28 |
1790871747 | William H Devine | Neuromusculoskeletal Medicine & OMM | 19389 N 59th Ave, Glendale, AZ 85308-6500 | 2006-10-05 |
1376522854 | William W Devine | Family Medicine | 901 4th St Nw, Watertown, SD 57201-1558 | 2006-01-12 |
Street Address |
2187 SWANSON AVE |
City | LAKE HAVASU CITY |
State | AZ |
Zip Code | 86403-6838 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841286820 | Caroline M Koch | Psychiatry & Neurology | 2187 Swanson Ave, Lake Havasu City, AZ 86403-6838 | 2005-09-23 |
1689911141 | Elza Boycheva | Counselor | 2187 Swanson Ave, Lake Havasu City, AZ 86403-6838 | 2013-01-03 |
1659500759 | Renee Lorin Nelson | Counselor | 2187 Swanson Ave, Lake Havasu City, AZ 86403-6838 | 2009-07-09 |
1902041551 | Sharon L Gala | Nurse Practitioner | 2187 Swanson Ave, Lake Havasu City, AZ 86403-6838 | 2008-12-11 |
1669662011 | Rachel Cheyney | Social Worker | 2187 Swanson Ave, Lake Havasu City, AZ 86403-6838 | 2007-07-31 |
1316023864 | Mohave Mental Health Clinic Inc | Clinic/Center | 2187 Swanson Ave, Lake Havasu City, AZ 86403 | 2006-10-27 |
1619910189 | Michael E. Mccluskey | Counselor | 2187 Swanson Ave, Lake Havasu City, AZ 86403-6838 | 2006-06-13 |
1861480121 | Paula R Lupo | Counselor | 2187 Swanson Ave, Lake Havasu City, AZ 86403-6838 | 2005-10-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104479039 | Liska's Apothecary Shop, Inc. | Assisted Living Facility | 1840 Mesquite Ave., Ste. E, Lake Havasu City, AZ 86403 | 2019-07-19 |
1275033227 | Ayad Costy | Pharmacist | 75 North Lake Havasu City, Lake Havasu City, AZ 86403 | 2018-02-16 |
1942727250 | Ideal Health Care, L.L.C. | Prosthetic/Orthotic Supplier | 1675 Mesquite Ave Ste A, Lake Havasu City, AZ 86403 | 2017-08-28 |
1063965036 | Cerner Health Connections, Inc | Clinic/Center | 89 Civic Center Blvd, Lake Havasu City, AZ 86403 | 2016-07-26 |
1447643358 | Lundin Dental PC | Durable Medical Equipment & Medical Supplies | 1741 Mesquite Avenue Ste B 100, Lake Havasu City, AZ 86403 | 2015-03-17 |
1912301425 | Arizona Havasu Bdm Pak LLC | Dentist | 1799 North Kiowa Blvd, Unit 109, Lake Havasu, AZ 86403 | 2014-10-13 |
1386047850 | Emily E Vona | Nurse Practitioner | 84 Acoma Blvd N Ste 104, Lake Havasu City, AZ 86403 | 2014-09-29 |
1750700589 | Thomas Wennergren | Pharmacist | 25 S Lake Havasu Ave, Lake Havasu City, AZ 86403 | 2014-04-09 |
1285997460 | Jamie L Lemire | Pharmacist | 1980 Mcculloch Blvd, Lake Havasu City, AZ 86403 | 2012-06-21 |
1053694448 | Goodwill of Northern Arizona | Exclusive Provider Organization | 1990 Mcculloch Blvd North, Lake Havasu City, AZ 86403 | 2011-09-22 |
Find all providers in zip 86403 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992285852 | Act Mental Health Services, LLC | Nurse Practitioner | 30 Acoma Blvd S, Lake Havasu City, AZ 86403-5957 | 2018-08-20 |
1184091845 | June Staley | Nurse Practitioner | 1845 Mcculloch Blvd N, Suite B-1, Lake Havasu City, AZ 86403-6759 | 2015-08-28 |
1902041551 | Sharon L Gala | Nurse Practitioner | 2187 Swanson Ave, Lake Havasu City, AZ 86403-6838 | 2008-12-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922608447 | Courtney Tafoya | Nurse Practitioner | 544 S 172nd Ave, Goodyear, AZ 85338-1281 | 2020-10-26 |
1215536479 | Yolanda D Baugh | Nurse Practitioner | 2625 W Piedmont Rd, Phoenix, AZ 85041-9540 | 2020-10-20 |
1871191593 | Lisa E Legg | Nurse Practitioner | 1480 E Pecos Rd Apt 3107, Gilbert, AZ 85295-1851 | 2020-10-14 |
1619584406 | Preston Strebeck | Nurse Practitioner | 3733 E Meadow Mist Ln, San Tan Valley, AZ 85140-5374 | 2020-09-25 |
1336754332 | Yvonne Maese | Nurse Practitioner | 824 N 99th Ave Ste 107-108, Avondale, AZ 85323-5324 | 2020-09-15 |
1306450960 | Williamsconsultant Com LLC | Nurse Practitioner | 2303 N 44th St Ste 12-1043, Phoenix, AZ 85008-2442 | 2020-09-01 |
1215549274 | Maria Graciela Cornejo | Nurse Practitioner | 3421 S Loback Ln, Gilbert, AZ 85297-7913 | 2020-08-20 |
1013529155 | Mark Skousen | Nurse Practitioner | 1745 W Western Dove Dr, Snowflake, AZ 85937-6185 | 2020-08-19 |
1356953699 | Rebecca Jane Turley | Nurse Practitioner | 1681 S Villas Ln, Chandler, AZ 85286-6805 | 2020-08-18 |
1467064063 | Dylan O'keefe Carey | Nurse Practitioner | 11702 W Fordson Dr, Marana, AZ 85653-7715 | 2020-08-17 |
Find all providers with the same taxonomy |
City | LAKE HAVASU CITY |
Zip Code | 86403 |
Please comment or provide details below to improve the information on MR. WILLIAM FRANCIS DEVINE.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.