DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: EVAH A THEODOR PMHNP-BC

MEDICARE: EVAH A THEODOR PMHNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN9583988FL
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN11035691FL

General Provider Information

NPI Number : 1194504779
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVAH A THEODOR PMHNP-BC
Provider Business Mailing Address
First Line : 418 SW 47TH TER
Second Line :
City : CAPE CORAL
State : FL
Zip : 33914-6506
Country : US
Telephone Number : 239-673-9034
Fax Number : 239-673-9102
Provider Business Practice Location Address
First Line : 418 SW 47TH TER
Second Line :
City : CAPE CORAL
State : FL
Zip : 33914-6506
Country : US
Telephone Number : 239-673-9034
Fax Number : 239-673-9102
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2023
Last Update Date : 06/04/2026

Similar Medicare Providers

1043264245 — KEITH A. BAKER, D.O., P.A.
Practice Location Address:
418 SW 47TH TER
CAPE CORAL, FL
33914-6506
Practice Phone: 239-945-1919
Practice Fax: 239-945-2392
1184662371 — DENNIS D FRINK D.O.
Practice Location Address:
418 SW 47TH TER
CAPE CORAL, FL
33914-6506
Practice Phone: 239-945-1919
Practice Fax: 239-945-2392
1679094916 — BLESSINGS MEDICAL GROUP, LLC
Practice Location Address:
418 SW 47TH TER
CAPE CORAL, FL
33914-6506
Practice Phone: 239-945-1919
Practice Fax:
1831890078 — BRIDGET YASMIN BARAHONA
Practice Location Address:
506 SW 47TH TER
CAPE CORAL, FL
33914-6506
Practice Phone: 239-851-8608
Practice Fax:
1174375497 — DNA COMPREHENSIVE THERAPY SERVICES, LLC
Practice Location Address:
418 SW 47TH TER
CAPE CORAL, FL
33914-6506
Practice Phone: 833-362-7935
Practice Fax:
1093534901 — MADISEN FULLER LCSW
Practice Location Address:
418 SW 47TH TER
CAPE CORAL, FL
33914-6506
Practice Phone: 239-690-6906
Practice Fax:

Directions to “ EVAH A THEODOR PMHNP-BC” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.