Individual
EVE A NG
Active
Individual
EVE A NG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
95019593
CA
363LF0000X
Family Nurse Practitioner
95019593
CA
Other
Enumeration date
04/14/2022
Last updated
12/27/2024
Update your record
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