Individual provider · Type 1 NPI
Marilyn Vivica Evans, FNP-BC
Primary Care Nurse Practitioner · Santa Monica, CA
NPI number
1265007579
Active
Practice location
1250 16th St
Santa Monica, CA 90404-1249
Mailing address
2415 Mohawk St
Pasadena, CA 91107-4202
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 95114161 (CA) |
Primary Care Nurse Practitioner: Definition to come...
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- Brettney Daugherty, N.P., D.N.P.Primary Care Nurse Practitioner Santa Monica, CA NPI 1831554682
About NPI 1265007579
Marilyn Vivica Evans, FNP-BC's National Provider Identifier is 1265007579, issued on May 20, 2021. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Santa Monica, CA. The record was last updated on May 26, 2021.