Devon Berry, FNP-C
Nurse Practitioner, Family in Los Angeles, CA. Individual provider (NPI-1).
NPI number1457745192
StatusActive
Last updated in NPPESNov 17, 2024
Details
- NPI
- 1457745192
- Entity type
- Individual (NPI-1)
- Name
- Devon Berry
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 19, 2015
- Certification date
- Nov 17, 2024
- Last updated
- Nov 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 95007281 | CA | Yes |
| 363LF0000X | Nurse Practitioner, Family | 209.011905 | IL |
Practice location
3762 Santa Rosalia DrLos Angeles, CA 90008-3612
Phone 323-250-3447
Mailing address
4859 W Slauson Ave # 586Los Angeles, CA 90056-1290
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