Evans, Reco Petriccelli

Evans, Reco Petriccelli is an sole proprietor health care provider with primary practice located at 6108 Balcony Dr Apt 911, Fort Worth TX 76132-4167. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Evans, Reco Petriccelli can be contacted via phone (817) 361-6015.

Contact Information

Primary practice address
6108 Balcony Dr Apt 911 Fort Worth TX 76132-4167
Phone: (817) 361-6015
Fax: (817) 361-1904
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 752302 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 752302 Texas

Profile Details

NPI number 1841499308
LBN Legal business name Evans, Reco Petriccelli
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2007
Last updated Apr 9th, 2008 - about 16 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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