White, Evangeline A

White, Evangeline A is an individual health care provider with primary practice located at 1920 N Higley Rd Ste 308 , Gilbert AZ 85234-1625. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse First Assistant, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. White, Evangeline A can be contacted via phone (480) 543-6600.

Contact Information

Primary practice address
1920 N Higley Rd Ste 308 Gilbert AZ 85234-1625
Fax: (480) 543-6733
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse First Assistant 163WR0006X RN040399 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP2831 Arizona

Profile Details

NPI number 1912937004
LBN Legal business name White, Evangeline A
Credentials RNFA, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Jul 18th, 2014 - about 10 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 1912937004 NPPES
Arizona MEDICAID 841488

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