Devon Beurie

Individual provider Active NPI Registered Dietitian · Muskogee, OK

NPI 1992553705 · NPPES record last updated May 7, 2024

Key facts

NPI
1992553705
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
2286 (OK)
Practice address
1011 Honor Heights Dr
Muskogee, OK 74401-1318
Phone
(918) 577-3180
NPI assigned
May 7, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2286OKMDNursing Home Administrator

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2286 OK Yes

Addresses

Primary practice location

1011 Honor Heights Dr
Muskogee, OK 74401-1318

Mailing address

1011 Honor Heights Dr
Muskogee, OK 74401-1318
Phone (918) 577-3180

Other providers in Muskogee, OK

All providers in Muskogee, OK · Registered Dietitian in Oklahoma

Sources for this page

Verify at the official NPI Registry.