Individual
MS. PRECIOUS GRACE CASTRO EVANGELISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, PMHNP-BC
Contact information
Practice address
428 SAVANNAH PL, MCDONOUGH, GA 30253-7374
(140) 443-2838
Mailing address
428 SAVANNAH PL, MCDONOUGH, GA 30253-7374
(404) 432-8380
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN166173
GA
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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