Individual provider · Type 1 NPI

Mindy Evangelisti, PA-C

Medical Physician Assistant · Philadelphia, PA

NPI number 1083893218 Active

Practice location

3401 N Broad St
Philadelphia, PA 19140-5103

Call (215) 707-2433 Map

Mailing address

2450 W Hunting Park Ave
Philadelphia, PA 19129-1302

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X25MP00465500 (NJ)
Medical Physician Assistant 363AM0700X2470 (CO)
Medical Physician Assistant Primary 363AM0700XMA059602 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1083893218

Mindy Evangelisti, PA-C's National Provider Identifier is 1083893218, issued on Oct 24, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 16, 2021.