Reagan Halligan Devine, FNP-BC | |
1991 Sproul Rd, Suite 625, Broomall, PA 19008-3512 | |
(484) 421-1669 | |
(484) 565-8556 |
Full Name | Reagan Halligan Devine |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1991 Sproul Rd, Broomall, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508283565 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | SP013702 (Pennsylvania) | Primary |
Entity Name | Main Line Healthcare |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922077643 PECOS PAC ID: 1951215201 Enrollment ID: O20040308000373 |
Mailing Address | Practice Location Address |
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Reagan Halligan Devine, FNP-BC 1991 Sproul Rd, Suite 625, Broomall, PA 19008-3512 Ph: (484) 421-1669 | Reagan Halligan Devine, FNP-BC 1991 Sproul Rd, Suite 625, Broomall, PA 19008-3512 Ph: (484) 421-1669 |
Michele Bramley, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1991 Sproul Rd, Suite 300, Broomall, PA 19008 Phone: 610-325-1390 Fax: 610-325-1373 | |
Ms. Gilda Audrey Johnson, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1991 Sproul Rd, Suite 300, Broomall, PA 19008 Phone: 610-325-1390 Fax: 610-325-1373 | |
Lisa Marie Smith, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Abbott Dr, Broomall, PA 19008 Phone: 888-227-3898 | |
Caroline Wilkinson, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 725 Winchester Rd, Broomall, PA 19008 Phone: 610-731-7636 | |
Ann Marie Daly Bradley, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 30 Lawrence Rd Ste 201, Broomall, PA 19008 Phone: 610-492-5911 | |
Sharon Hunter, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2000 Sproul Road, Suite 206, Broomall, PA 19008 Phone: 610-284-0200 Fax: 610-353-7932 | |
Mrs. Jacquelyn Elizabeth Mowday, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1991 Sproul Rd, Suite 200, Broomall, PA 19008 Phone: 610-325-1350 Fax: 610-325-1357 |