Individual
MS. EVELYN MERVILUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1075 OCEAN VIEW AVE, BROOKLYN, NY 11235-5405
(718) 968-0742
Mailing address
PO BOX 111, BROOKLYN, NY 11234-0111
(718) 968-0742
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
000000000000
NY
Other
Enumeration date
05/18/2012
Last updated
10/24/2012
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