Individual provider · Type 1 NPI

Evah A. Theodor, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Cape Coral, FL

NPI number 1194504779 Active

Practice location

418 SW 47th Ter
Cape Coral, FL 33914-6506

Fax (239) 673-9102

Other practice locations

  • 2338 Immokalee Rd # 559, Naples, FL 34110-1445 · (239) 330-2933

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN9583988 (FL)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAPRN11035691 (FL)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

8 other providers at this address

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About NPI 1194504779

Evah A. Theodor, PMHNP-BC's National Provider Identifier is 1194504779, issued on Sep 25, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Cape Coral, FL. The record was last updated on Jun 4, 2026.