Individual
GLORIA DENISE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2300 OPITZ BLVD, WOODBRIDGE, VA 22191-3311
(703) 670-1313
(904) 346-0113
Mailing address
PO BOX 759101, BALTIMORE, MD 21275-0001
(703) 205-9790
(904) 346-0113
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024166247
VA
Other
Enumeration date
05/30/2006
Last updated
01/06/2020
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