Individual
EVELYN EXEVEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
1420 S CENTRAL AVE, GLENDALE, CA 91204-2508
(818) 502-2258
Mailing address
PO BOX 50690, LOS ANGELES, CA 90050-0690
(661) 755-2972
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
22393
CA
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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