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NPI Code Detail

MEDICARE: EVELYN RUDO MAJACHANI PMHNP

MEDICARE: EVELYN RUDO MAJACHANI PMHNP
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
1163W00000XRegistered Nurse311120NC
2363LF0000XFamily Nurse Practitioner5010039NC
3363LP0808XPsychiatric/Mental Health Nurse Practitioner5010039NC

General Provider Information

NPI Number : 1134647688
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVELYN RUDO MAJACHANI PMHNP
Provider Business Mailing Address
First Line : PO BOX 2723
Second Line :
City : ROCKY MOUNT
State : NC
Zip : 27802-2723
Country : US
Telephone Number : 252-212-3486
Fax Number : 252-212-3497
Provider Business Practice Location Address
First Line : 111 S FAIRVIEW RD
Second Line :
City : ROCKY MOUNT
State : NC
Zip : 27801-6971
Country : US
Telephone Number : 252-446-3333
Fax Number : 252-446-0426
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2017
Last Update Date : 08/09/2024

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