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Contact Information

STACY L DEVOL, CCNS
400 MATTHEW ST STE 401
MARIETTA, OH45750-1656
 Phone: 740-374-2252
 Fax: 740-374-4974
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

364SA2100X 89 Certified Clinical Nurse Specialist
 

Critical Care Medicine

364SC0200X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for STACY L DEVOL · (Female)

NPI Number 1164865465
Status Active
Credentials CCNS
Entity Individual
Enumeration date 04/17/2013
Last updated 07/16/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # APRN.CNS.13383
  • OH License # COA.13383-NS
  • OH Medicaid 0101019
  • WV Medicaid 3810027353
Hospital affiliation(s)
  • MARIETTA MEMORIAL HOSPITAL - (Acute Care)
    401 MATTHEW STREET
    MARIETTA, OH 45750
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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