Individual
SARA EVANGELISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
386 VALLEY RD, WEST ORANGE, NJ 07052-5303
(424) 378-0451
Mailing address
212 E BROAD ST APT 2106, GREENVILLE, SC 29601-3070
(424) 378-0451
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01204100
NJ
Other
Enumeration date
09/25/2021
Last updated
09/25/2021
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