Individual
MELISSA EVANGELISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
300 PASTEUR DR, PALO ALTO, CA 94305-2200
(510) 432-4208
Mailing address
300 PASTEUR DRIVE, H3580, PALO ALTO, CA 94305-5640
(510) 432-4208
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
672030- 1
NY
163W00000X
Registered Nurse
95081898
CA
367500000X
Certified Registered Nurse Anesthetist
113749
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95000643
CA
Other
Enumeration date
09/16/2016
Last updated
07/21/2022
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