Healthcare Provider Details

I. General information

NPI: 1225965973
Provider Name (Legal Business Name): EVA OCHARO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 NAVAHO DR STE 204-A
RALEIGH NC
27609-7335
US

IV. Provider business mailing address

711 NIGHTSHADE WAY
RALEIGH NC
27610-4956
US

V. Phone/Fax

Practice location:
  • Phone: 919-917-7273
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number5024408
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: