Organization
CE MED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY L EVILSIZOR ARNP (NURSE PRACTITIONER)
(941) 456-8074
Entity
Organization
Contact information
Practice address
209 E TARPON BLVD NW, PORT CHARLOTTE, FL 33952-6531
(941) 456-8074
Mailing address
209 E TARPON BLVD NW, PORT CHARLOTTE, FL 33952-6531
(941) 456-8074
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
ARNP9277675
FL
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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