Organization
EDGAR EVANGELISTA MD PC
Active
Other names
NEVADA NEUROLOGIC CARE
Organization subpart
No
Provider details
NPI number
Authorized official
EDGAR JAY B EVANGELISTA MD (PRESIDENT)
(702) 800-7831
Entity
Organization
Contact information
Practice address
2110 E FLAMINGO RD STE 201, LAS VEGAS, NV 89119-5192
(702) 800-7831
(877) 409-2014
Mailing address
1452 W HORIZON RIDGE PKWY # 566, HENDERSON, NV 89012-4422
(702) 800-7831
(877) 409-2014
Taxonomy
Speciality
Code
Description
License number
State
2084D0003X
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
—
—
2084N0400X
Neurology Physician
—
—
2084N0600X
Clinical Neurophysiology Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
09/22/2011
Last updated
05/22/2024
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