Individual
EVELYN JORAN-THIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
LEE ST, 4TH FLOOR, CHARLOTTESVILLE, VA 22908-0001
(434) 924-5105
(434) 982-1927
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024164287
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972790723
—
VA
Enumeration date
09/26/2007
Last updated
09/13/2012
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