Healthcare Provider Details

I. General information

NPI: 1174072664
Provider Name (Legal Business Name): EVA CHRISTINA CARBONE DNP, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2016
Last Update Date: 04/07/2025
Certification Date: 04/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6455 MACHINE ST
ABERDEEN PROVING GROUND MD
21005-5213
US

IV. Provider business mailing address

694 CONCORD POINT DR
PERRYVILLE MD
21903-2568
US

V. Phone/Fax

Practice location:
  • Phone: 410-278-6837
  • Fax:
Mailing address:
  • Phone: 443-567-8868
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR196121
License Number StateMD
# 3
Primary TaxonomyY
Taxonomy Code363LX0106X
TaxonomyOccupational Health Nurse Practitioner
License NumberR196121
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: