EVETTE FACEY


Address: 6506 Myrtle Ave, Glendale, NY 11385-6250
Phone: 7183169600

EVETTE FACEY (NPI# 1548785728) 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) 1548785728
Entity Type Individual
Full Name EVETTE FACEY
Practice Address 6506 Myrtle Ave
Glendale
NY 11385-6250
Practice Telephone 7183169600
Mailing Telephone 7183169600
Enumeration Date 2017-08-08
Last Update Date 2017-08-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
F308165-1 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 6506 MYRTLE AVE
City GLENDALE
State NY
Zip Code 11385-6250

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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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1437474129 Paula Kay Scoggins Nurse Practitioner 4221 W Villa Rita Dr, Glendale, AZ 85308-2514 2010-04-06
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Competitor

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City GLENDALE
Zip Code 11385

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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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