Individual
EVANA DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1144 LOCUST ST, PHILADELPHIA, PA 19107-6734
(215) 351-5550
Mailing address
2531 S 15TH ST, PHILADELPHIA, PA 19145-4610
(215) 776-1542
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN676603
PA
Other
Enumeration date
03/12/2026
Last updated
03/12/2026
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