Individual
EVANSIE JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-8000
Mailing address
3216 15TH ST SW, LEHIGH ACRES, FL 33976-2921
(239) 246-2342
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
258608
NC
163W00000X
Registered Nurse
9247222
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
258608
NC
Other
Enumeration date
12/01/2012
Last updated
02/10/2013
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