# EVELYN FUENTES

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1346856994
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 0001243593 | VA | — |
| 363L00000X | Nurse Practitioner | 0024180174 | VA | Yes |

## Other

- **Enumeration date:** 09/18/2020
- **Last updated:** 09/21/2020