Eversley, Angela Katherine

Eversley, Angela Katherine is an individual health care provider with primary practice located at 300 E 15Th St , Merced CA 95341-6217. She recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as her primary health care specialty. Eversley, Angela Katherine can be contacted via phone (209) 381-6879.

Contact Information

Primary practice address
300 E 15Th St Merced CA 95341-6217
Fax: (209) 725-3775
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Vocational Nurse 164X00000X 272063 California

Profile Details

NPI number 1235645466
LBN Legal business name Eversley, Angela Katherine
Credentials Licensed Visiting Nurse (LVN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2017
Last updated Dec 26th, 2017 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235645466 NPPES
California MEDICAID 1013030808

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