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NPI Code Detail

MEDICARE: NATHALIE MARIA EVANS FNP-C

MEDICARE:   NATHALIE MARIA EVANS  FNP-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
1363LF0000XFamily Nurse Practitioner0024167676VA

General Provider Information

NPI Number : 1376712570
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATHALIE MARIA EVANS FNP-C
Provider Business Mailing Address
First Line : 2109 SCOTLAND ST
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23456-5789
Country : US
Telephone Number : 757-312-2144
Fax Number :
Provider Business Practice Location Address
First Line : 2109 SCOTLAND ST
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23456-5789
Country : US
Telephone Number : 757-312-2144
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2008
Last Update Date : 07/24/2012

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Directions to “ NATHALIE MARIA EVANS FNP-C” Practice Location

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