Ms Marian Devereaux, RD is a
Dietitian, Registered based in Fairfax, California. Ms Marian Devereaux is licensed to practice in California (license number 913448) and her current practice location is
251 Oak Manor Dr, Fairfax, California. She can be reached at her office (for appointments etc.) via phone at
(415) 353-8814.
NPI number for Ms Marian Devereaux is 1184172587 and her current mailing address is 251 Oak Manor Dr, Fairfax, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184172587.
Healthcare Provider's Profile
| Full Name | Ms Marian Devereaux |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 251 Oak Manor Dr, Fairfax, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1184172587
- Provider Enumeration Date: 09/14/2016
- Last Update Date: 09/14/2016
Medical Identifiers
Medical identifiers for Ms Marian Devereaux such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184172587 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 913448 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Marian Devereaux is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Marian Devereaux, RD
251 Oak Manor Dr,
Fairfax, CA 94930-1014
Ph: (415) 353-8814 | Ms Marian Devereaux, RD
251 Oak Manor Dr,
Fairfax, CA 94930-1014
Ph: (415) 353-8814 |
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