NICOLE KRISTINE EVANKOVICH PA NPI 1689869075

NPI Information

Nicole Kristine Evankovich, PA is a surgical physician assistant in Pittsburgh, PA with 17 years of experience. Nicole Kristine Evankovich, PA NPI is 1689869075. 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:

3380 BOULEVARD OF THE ALLIES
SUITE 158
PITTSBURGH, PA
ZIP 15213-125
Phone: (412) 648-8736
Fax: (412) 864-1733

The NPI 1689869075 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 9/10/2007 and was last updated on 3/28/2017.

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:

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