MEDICARE: HELEN EVERS-HUNT ANP-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
1	363LA2200X	Adult Health Nurse Practitioner	26NJ00527000	NJ
2	363LA2200X	Adult Health Nurse Practitioner	SP013605	PA

General Provider Information

NPI Number	:	1518389410
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HELEN EVERS-HUNT ANP-BC

Provider Business Mailing Address
First Line	:	1818 E PASSYUNK AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19148-2128
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1818 E PASSYUNK AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19148-2128
Country	:	US
Telephone Number	:	215-468-2553
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2014
Last Update Date	:	06/27/2019

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