MRS. ANDREA L EVOLA


Address: 25 Monterey Ave, Staten Island, NY 10312-2058
Phone: 9178078707

MRS. ANDREA L EVOLA (NPI# 1477006443) 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) 1477006443
Entity Type Individual
Full Name MRS. ANDREA L EVOLA
Credential NP
Practice Address 25 Monterey Ave
Staten Island
NY 10312-2058
Practice Telephone 9178078707
Mailing Telephone 9178078707
Enumeration Date 2016-07-26
Last Update Date 2016-07-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
307885 NY Physician Assistants & Advanced Practice Nursing Providers
N 363LG0600X Nurse Practitioner
Specialization: Gerontology
307885 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 25 MONTEREY AVE
City STATEN ISLAND
State NY
Zip Code 10312-2058

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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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Competitor

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City STATEN ISLAND
Zip Code 10312

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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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