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NPI Code Detail

MEDICARE: CYNTHIA EVANS ARNP

MEDICARE: CYNTHIA EVANS ARNP
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
1363LA2200XAdult Health Nurse PractitionerARNP3172982FL
2363LG0600XGerontology Nurse PractitionerARNP3172982FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1446486OTHERFLWELLCARE HEALTHEASE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669445698
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA EVANS ARNP
Provider Business Mailing Address
First Line : 1720 S GADSDEN ST
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32301-5506
Country : US
Telephone Number : 850-576-4073
Fax Number : 850-576-2824
Provider Business Practice Location Address
First Line : 1720 S GADSDEN ST
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32301-5506
Country : US
Telephone Number : 850-576-4073
Fax Number : 850-576-2824
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2006
Last Update Date : 01/25/2013

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