EVELYN MARCIA DESSER


Address: 10899 Wellworth Ave., Los Angeles, CA 90024-4918
Phone: 8663892727

EVELYN MARCIA DESSER (NPI# 1255459129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255459129
Entity Type Individual
Full Name EVELYN MARCIA DESSER
Credential RN, MN, FNP-BC
Practice Address 10899 Wellworth Ave.
Los Angeles
CA 90024-4918
Mailing Address 5412 Janisann Ave
Culver City
CA 90230-5307
Practice Telephone 8663892727
Practice Fax Number 4012163854
Mailing Telephone 3106211104
Mailing Fax Number 3103983611
Enumeration Date 2007-03-27
Last Update Date 2017-02-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
RN347980 CA Physician Assistants & Advanced Practice Nursing Providers
N 363LP2300X Nurse Practitioner
Specialization: Primary Care
RN347980 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 10899 WELLWORTH AVE.
City LOS ANGELES
State CA
Zip Code 90024-4918

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City LOS ANGELES
Zip Code 90024

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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