Individual
EILEEN S EVANGELISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4755 OGLETOWN STANTON RD, ROOM 1049E, NEWARK, DE 19718-2200
(302) 733-1487
Mailing address
PO BOX 30170, WILMINGTON, DE 19805-7170
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
L1-0028628
DE
Other
Enumeration date
11/13/2013
Last updated
11/13/2013
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