# MR. EVELIO MANTEIRA BARBAN

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

## Provider details

- **NPI number:** 1720631542
- **Gender:** Man
- **Credential:** AGNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WG0600X | Gerontology Registered Nurse | RN9480510 | FL | — |
| 363L00000X | Nurse Practitioner | APRN11004945 | FL | Yes |

## Other

- **Enumeration date:** 07/21/2019
- **Last updated:** 09/26/2022