MEDICARE: MS. EVAN LYNN ROSSI NP

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	71008169A	IN
2	363LF0000X	Family Nurse Practitioner	71008169B	IN

General Provider Information

NPI Number	:	1922472612
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. EVAN LYNN ROSSI NP

Provider Business Mailing Address
First Line	:	4401 EAGLECREST PL
Second Line	:
City	:	ZIONSVILLE
State	:	IN
Zip	:	46077-4623
Country	:	US
Telephone Number	:	317-702-0066
Fax Number	:

Provider Business Practice Location Address
First Line	:	4401 EAGLECREST PL
Second Line	:
City	:	ZIONSVILLE
State	:	IN
Zip	:	46077-4623
Country	:	US
Telephone Number	:	317-702-0066
Fax Number	:

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

Provider Enumeration Date	:	11/18/2015
Last Update Date	:	01/14/2026

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