Evans, Tetyana

Evans, Tetyana is an individual health care provider with primary practice located at 2528 Mountain Rd Ste 102-204 , Pasadena MD 21122-7203. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Evans, Tetyana can be contacted via phone (443) 839-6928.

Contact Information

Primary practice address
2528 Mountain Rd Ste 102-204 Pasadena MD 21122-7203
Phone: (443) 839-6928
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R173941 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X R173941 Maryland

Profile Details

NPI number 1285927723
LBN Legal business name Evans, Tetyana
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2011
Last updated Apr 18th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1285927723 NPPES
Maryland MEDICAID 041988500

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