Individual
EVAH A THEODOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
2338 IMMOKALEE RD # 559, NAPLES, FL 34110-1445
(239) 330-2933
Mailing address
319 NE 11TH AVE, CAPE CORAL, FL 33909-2159
(239) 362-8276
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9583988
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11035691
FL
Other
Enumeration date
09/25/2023
Last updated
06/17/2025
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