Individual
KATHLEEN ANNE EVANGELISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
58 ORLANDO AVE, WINTHROP, MA 02152-2248
(617) 846-1982
Mailing address
58 ORLANDO AVE, WINTHROP, MA 02152-2248
(617) 846-1982
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN213785
MA
Other
Enumeration date
12/22/2010
Last updated
12/22/2010
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