MICHELLE EVANSON FNP NPI 1396723946

NPI Information

NPI: 1396723946
Provider Name: MICHELLE EVANSON, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
3804 EXECUTIVE AVE
APT D-1
ALEXANDRIA, VA
ZIP 22305
Phone: (703) 519-1725
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Michelle Evanson, FNP is a family nurse practitioner in Alexandria, VA. Michelle Evanson, FNP NPI is 1396723946. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3804 EXECUTIVE AVE
APT D-1
ALEXANDRIA, VA
ZIP 22305-118
Phone: (703) 519-1725
Fax: (703) 519-1738

The enumeration date for this NPI number is 1/4/2006 and was last updated on 4/18/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	0024165739	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Q16892	MEDICARE UPIN
2	G01563A01	MEDICARE PIN	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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