Individual
MR. EDWARD JAMES EVARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
260 GRAYSON RD, VIRGINIA BEACH, VA 23462-4345
(757) 497-3670
Mailing address
5345 FAIRFIELD BLVD, VIRGINIA BEACH, VA 23464-2509
(757) 633-3662
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024180372
VA
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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