Individual provider · Type 1 NPI
Stacey D. Evans, RN, MSN, FNP
Family Nurse Practitioner · Los Angeles, CA
NPI number
1043528987
Active
Practice location
1500 San Pablo St
Los Angeles, CA 90033-5313
Mailing address
PO Box 31309
Los Angeles, CA 90031-0309
Other practice locations
- 2801 Atlantic Ave, Long Beach, CA 90806-1701 · (562) 260-1729
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 235025 (LA) |
| Family Nurse Practitioner Primary | 363LF0000X | 20170 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1043528987
Stacey D. Evans, RN, MSN, FNP's National Provider Identifier is 1043528987, issued on Sep 14, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Los Angeles, CA. The record was last updated on May 22, 2026.