Individual
MARIA MERCEDES EVANGELISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8044 HARTHAM PARK AVE, RALEIGH, NC 27616-9302
(917) 669-1433
Mailing address
8044 HARTHAM PARK AVE, RALEIGH, NC 27616-9302
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
258548
NC
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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