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NPI Code Detail

MEDICARE: KAREN EVANGELISTE

MEDICARE: KAREN EVANGELISTE
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
1208100000XPhysical Medicine & Rehabilitation PhysicianTE1004568PA

General Provider Information

NPI Number : 1245186055
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN EVANGELISTE
Provider Business Mailing Address
First Line : 1172 DRY DAM RD
Second Line :
City : JEANNETTE
State : PA
Zip : 15644-4513
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5035 CLAIRTON BLVD
Second Line :
City : PITTSBURGH
State : PA
Zip : 15236-2103
Country : US
Telephone Number : 412-440-0142
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2026
Last Update Date : 03/05/2026

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Directions to “ KAREN EVANGELISTE ” Practice Location

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