Individual
JULI-ANNE K EVANGELISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115
(617) 355-8165
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-8165
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
182517
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30346944
—
NH
Enumeration date
05/03/2006
Last updated
11/26/2019
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