MRS. ANGELA MARY EVANS


Address: 301 Lake Street, Misericordia University's Health & Wellness Center, Dallas, PA 18612
Phone: 5706746276

MRS. ANGELA MARY EVANS (NPI# 1336423631) 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) 1336423631
Entity Type Individual
Full Name MRS. ANGELA MARY EVANS
Credential CRNP
Practice Address 301 Lake Street
Misericordia University's Health & Wellness Center
Dallas
PA 18612
Mailing Address 396 State Route 415
Noxen
PA 18636
Practice Telephone 5706746276
Mailing Telephone 5706391105
Enumeration Date 2011-10-05
Last Update Date 2011-10-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
SP011624 PA Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 301 LAKE STREET
MISERICORDIA UNIVERSITY'S HEALTH & WELLNESS CENTER
City DALLAS
State PA
Zip Code 18612

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487009882 Jacqueline Patricia O'brien Occupational Therapist 345 Lake Louise Rd, Dallas, PA 18612 2016-05-04
1164772927 Katie M Ferguson Pharmacist 26 Dallas Shopping Center Memorial Highway, Dallas, PA 18612 2012-09-19
1619235892 Crista Zern Physical Therapist 4 East Center Hill Road, Dallas, PA 18612 2012-04-25
1376835868 Peter Frederick Casterline Surgery 5 Old Well Lane, Dallas, PA 18612 2011-05-03
1336386051 Judy A Williams Speech-Language Pathologist 368 Tioga Avenue, Kingston, PA 18612 2009-01-16
1013195015 Joseph John Kowalski Psychiatry & Neurology 2 Birch Hill Lane, Dallas, PA 18612 2008-02-01
1063621233 Back Mountain Pediatrics Clinical Medical Laboratory 550 Memorial Highway, Dallas, PA 18612 2007-05-22
1760699177 Leonard M Evans Internal Medicine 1806 Country Club Apartments, Dallas, PA 18612 2007-05-16
1417170549 Clem-mar House, Inc. Substance Abuse Rehabilitation Facility 2860 State Route 309, Dallas, PA 18612 2007-04-10
1407985179 Thomas D Connors Specialist/Technologist 2000 Conyngham Ave., Dallas, PA 18612 2007-03-05
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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 DALLAS
Zip Code 18612

Improve Information

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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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