Evangeline Mahima Standridge is a family nurse practitioner in Ontario, OH. Evangeline Mahima Standridge NPI is 1174121156. 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:
2021 PARK AVE W
ONTARIO, OH
ZIP 44906-259
Phone: (567) 560-5558
The NPI 1174121156 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 10/13/2020 and was last updated on 12/9/2021.