Devyn Leigh Freeman, FNP-C | |
4000 Medical Center Dr, Unit 110, Fayetteville, NY 13066 | |
(315) 663-0100 | |
Not Available |
Full Name | Devyn Leigh Freeman |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 4000 Medical Center Dr, Fayetteville, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184352700 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F349731-01 (New York) | Primary |
Entity Name | Dr. Fazeli & Dr. Broumand Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336235639 PECOS PAC ID: 0446358063 Enrollment ID: O20070606000029 |
Mailing Address | Practice Location Address |
---|---|
Devyn Leigh Freeman, FNP-C 4000 Medical Center Dr, Unit 110, Fayetteville, NY 13066 Ph: (315) 663-0100 | Devyn Leigh Freeman, FNP-C 4000 Medical Center Dr, Unit 110, Fayetteville, NY 13066 Ph: (315) 663-0100 |
Mary Oot, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 510 Towne Dr, Fayetteville, NY 13066 Phone: 315-663-0500 | |
Ms. Hannah Joan Walsh, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4101 Medical Center Dr, Fayetteville, NY 13066 Phone: 315-637-7878 | |
Theresa Baxter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 221 Hunt Dr, Fayetteville, NY 13066 Phone: 315-637-8148 | |
Jayme K Schreck, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 510 Towne Dr, Fayetteville, NY 13066 Phone: 315-663-0500 Fax: 315-663-0514 | |
Taylor Fisher, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6870 E Genesee St, Fayetteville, NY 13066 Phone: 315-679-4367 | |
Mrs. Jenaye Karin Broe, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4000 Medical Center Dr Ste 110, Fayetteville, NY 13066 Phone: 315-663-0100 | |
Kathleen Judith Hergert, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 510 Towne Dr, Fayetteville, NY 13066 Phone: 315-627-0448 |