Female

Ms. Devon D. Germak ACNP-BC

Nurse Practitioner in Worcester, MA(View on Map)

Full Name

Ms. Devon Diclerico Germak ACNP-BC

NPI Number

1962690271

NPI Type

Individual Provider

Gender

Female

Enumeration Date

10/11/2007

Specialties

(Taxonomies)

Code

363L00000X

Primary Taxonomy

Yes

Licenses

State

Massachusetts
Rhode Island

License Number

267790
NPP37706

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 415348
55 LAKE AVENUE NORTH

City

Boston
Worcester

State

MA
MA

Postal Code

02241-5348
01655-0002

Country

US
US

Telephone Number

N/A
(508) 856-5599

Identifiers

Identifier

110076991A
0716081

Identifier State

MA
MA

Identifier Issuer

Unknown
Unknown

Health Information Exchange

Endpoint Type

DIRECT
FHIR

Endpoint

ddiclerico236207@UmassMemorial.direct-ci.com
https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Endpoint Description

Unknown
Unknown

Use

Unknown
Unknown

Content Type

Unknown
Unknown

Affiliation

N
N

Endpoint Location

55 Lake Avenue NorthDepartment of SurgeryWorcester, MA016550002US
55 Lake Avenue NorthDepartment of SurgeryWorcester, MA016550002US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/03/2020

Provider Address

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