Individual
MRS. ERICA R EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2927 PEARSON JAMES PLACE, LUTZ, FL 33559
(813) 428-5295
Mailing address
19156 MEADOW PINE DR, TAMPA, FL 33647-3609
(404) 370-2158
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9556166
FL
363LF0000X
Family Nurse Practitioner
11002496
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11002496
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117895500
—
FL
Enumeration date
07/30/2014
Last updated
01/02/2025
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