MS. LATASHA EVANS


Address: 7440 Rogers Ave, Upper Darby, PA 19082-2010
Phone: 6109310000

MS. LATASHA EVANS (NPI# 1568063873) 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) 1568063873
Entity Type Individual
Full Name MS. LATASHA EVANS
Other Name MS. LATASHA EVANS
Credential NURSE PRACTITIONER
Practice Address 7440 Rogers Ave
Upper Darby
PA 19082-2010
Practice Telephone 6109310000
Mailing Telephone 6109310000
Enumeration Date 2020-11-03
Last Update Date 2020-11-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
SP022724 PA Physician Assistants & Advanced Practice Nursing Providers

Other Providers LATASHA EVANS

NPI Name Taxonomy Address Enumeration
1154969558 Latasha Evans Licensed Practical Nurse 3502 Sheffield Ave, Philadelphia, PA 19136-3519 2019-12-16
1053548297 Latasha Roshelle Evans Nurse Practitioner 12 Executive Park Dr Ne, Atlanta, GA 30329-2206 2009-06-15

Office Location

Street Address 7440 ROGERS AVE
City UPPER DARBY
State PA
Zip Code 19082-2010

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1508395930 Edward Nylander Behavioral Analyst 119 Normandy Road, Upper Darby, PA 19082 2017-06-08
1861866063 Kyera Swint Counselor 6930-34 Market Street, Upper Darby, PA 19082 2015-11-25
1720469505 Monique Scott I Psychologist 250 Beverly Blvd Apt B201, Upper Darby, PA 19082 2015-06-17
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1508471582 Yanshi Lin Nurse Practitioner 1400 Spring Garden St Apt 904, Philadelphia, PA 19130-4411 2020-09-15
1629683115 Meghan Bonner Nurse Practitioner 333 N Oxford Valley Rd Ste 102, Fairless Hills, PA 19030-2626 2020-09-10
1245850270 Lori Michele Shotts Nurse Practitioner 110 Holmes St, Vandergrift, PA 15690-1658 2020-04-20
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1346889524 Crystal Parker Nurse Practitioner 816 Laurel Rd, Lansdowne, PA 19050-3609 2020-01-05
1821636317 Mary Mumbi Njogu Nurse Practitioner 907 Woodbrook Ln, Philadelphia, PA 19150-3217 2019-12-15
1790336543 Angela Olarte Nurse Practitioner 1627 Chew St Ste 403, Allentown, PA 18102-3648 2019-09-24
1891345971 Allison Lyavdansky Nurse Practitioner 600 N 2nd St Ste 401, Harrisburg, PA 17101-1071 2019-09-19
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Competitor

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City UPPER DARBY
Zip Code 19082

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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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