Evangelista, Mary K

Evangelista, Mary K is an individual health care provider with primary practice located at 4321 Fir St , East Chicago IN 46312-3049. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Evangelista, Mary K can be contacted via phone (219) 765-0597.

Contact Information

Primary practice address
4321 Fir St East Chicago IN 46312-3049
Phone: (219) 765-0597
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71007197A Indiana

Profile Details

NPI number 1881114767
LBN Legal business name Evangelista, Mary K
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2017
Last updated Sep 10th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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