Sara Evangelista, APN
Nurse Practitioner, Family in West Orange, NJ. Individual provider (NPI-1).
NPI number1326719683
StatusActive
Last updated in NPPESSep 25, 2021
Details
- NPI
- 1326719683
- Entity type
- Individual (NPI-1)
- Name
- Sara Evangelista
- Credential
- APN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 25, 2021
- Certification date
- Aug 22, 2021
- Last updated
- Sep 25, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 26NJ01204100 | NJ | Yes |
Practice location
386 Valley RdWest Orange, NJ 07052-5303
Phone 424-378-0451
Mailing address
212 E Broad St Apt 2106Greenville, SC 29601-3070
Phone 424-378-0451
Other practice locations
212 E Broad St Apt 2106
Greenville, SC 29601-3070
Greenville, SC 29601-3070
Phone 424-378-0451
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