DALLAS LAMAR EVANS ARNP NPI 1083981260

NPI Information

  • NPI: 1083981260
  • Provider Name: DALLAS LAMAR EVANS, ARNP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6550 N WICKHAM RD
    SUITE 2
    MELBOURNE, FL
    ZIP 32940
  • Phone: (321) 751-9506

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NPI Details

Dallas Lamar Evans, ARNP is an adult health nurse practitioner in Melbourne, FL. Dallas Lamar Evans, ARNP NPI is 1083981260. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6550 N WICKHAM RD
SUITE 2
MELBOURNE, FL
ZIP 32940-038
Phone: (321) 751-9506
Fax: (321) 751-9505

The NPI 1083981260 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/16/2011 and was last updated on 11/16/2011.

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
1363LA2200XNurse PractitionerAdult HealthARNP9175957FLORIDAYes

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: 11/21/2025

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