Individual
JULIE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
259 1ST ST, MINEOLA, NY 11501-3957
(516) 741-0570
Mailing address
8714 169TH ST, JAMAICA, NY 11432-3632
(347) 554-0218
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
650837
NY
Other
Enumeration date
08/31/2017
Last updated
09/13/2022
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