MEDICARE: EVELYNE N EPIE APRN, FNP-BC, WCS-C

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	363LF0000X	Family Nurse Practitioner	AP140921	TX

General Provider Information

NPI Number	:	1053976985
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EVELYNE N EPIE APRN, FNP-BC, WCS-C

Provider Business Mailing Address
First Line	:	2507 MUSTANG CT
Second Line	:
City	:	CEDAR HILL
State	:	TX
Zip	:	75104-2415
Country	:	US
Telephone Number	:	682-200-4272
Fax Number	:	682-719-4099

Provider Business Practice Location Address
First Line	:	941 YORK DR STE 201
Second Line	:
City	:	DESOTO
State	:	TX
Zip	:	75115-2066
Country	:	US
Telephone Number	:	682-200-4272
Fax Number	:	682-719-4099

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

Provider Enumeration Date	:	05/06/2019
Last Update Date	:	04/06/2026

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