Evans, Andrea Gracie

Evans, Andrea Gracie is an individual health care provider with primary practice located at 301 University Blvd Dept Of Peds , Galveston TX 77555-0351. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Evans, Andrea Gracie can be contacted via phone (409) 772-1064.

Contact Information

Primary practice address
301 University Blvd Dept Of Peds Galveston TX 77555-0351
Phone: (409) 772-1064
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 884809 Texas
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP08986 Louisiana

Profile Details

NPI number 1730634478
LBN Legal business name Evans, Andrea Gracie
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2016
Last updated Oct 28th, 2016 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1730634478 NPPES
Louisiana Other AP08986 LICENSE NUMBER
Louisiana Other 884809 LICENSE NUMBER
Louisiana Other AP131680 LICENSE NUMBER
Louisiana Other RN13082 LICENSE NUMBER

Popular Providers