Individual provider · Type 1 NPI
Andrea Gracie Evans I, PNP
Pediatric Nurse Practitioner · Galveston, TX
NPI number
1730634478
Active
Practice location
301 University Blvd Dept Of Peds
Galveston, TX 77555-0351
Mailing address
301 University Blvd Dept Of
Galveston, TX 77555-5302
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 884809 (TX) |
| Pediatric Nurse Practitioner | 363LP0200X | AP08986 (LA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1730634478
Andrea Gracie Evans I, PNP's National Provider Identifier is 1730634478, issued on Aug 23, 2016. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Galveston, TX. The record was last updated on Oct 28, 2016.