Individual provider · Type 1 NPI

Kenneth Evangelista

Adult Health Nurse Practitioner · Everett, WA

NPI number 1710318837 Active

Practice location

1321 Colby Ave
Everett, WA 98201-1665

Mailing address

PO Box 3360
Portland, OR 97208-3360

Other practice locations

  • 251 E Huron St, Chicago, IL 60611-2908 · (312) 926-2000
  • 3901 Hoyt Ave, Everett, WA 98201-4918 · (425) 259-0966

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XAP60698654 (WA)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1710318837

Kenneth Evangelista's National Provider Identifier is 1710318837, issued on Nov 30, 2013. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Everett, WA. The record was last updated on Dec 11, 2019.