Evans, Latasha

Evans, Latasha is an sole proprietor health care provider with primary practice located at 7440 Rogers Ave , Upper Darby PA 19082-2010. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Evans, Latasha can be contacted via phone (610) 931-0000.

Contact Information

Primary practice address
7440 Rogers Ave Upper Darby PA 19082-2010
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X SP022724 Pennsylvania

Profile Details

NPI number 1568063873
LBN Legal business name Evans, Latasha
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2020
Last updated Nov 3rd, 2020 - about 4 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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