MS. ANDREA GRACIE EVANS PNP NPI 1730634478

NPI Information

NPI: 1730634478
Provider Name: MS. ANDREA GRACIE EVANS, PNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
301 UNIVERSITY BLVD DEPT OF PEDS
GALVESTON, TX
ZIP 77555
Phone: (409) 772-1064
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MS. Andrea Gracie Evans, PNP is a pediatrics nurse practitioner in Galveston, TX. MS. Andrea Gracie Evans, PNP NPI is 1730634478. 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:

301 UNIVERSITY BLVD DEPT OF PEDS
GALVESTON, TX
ZIP 77555-351
Phone: (409) 772-1064

The NPI 1730634478 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 8/23/2016 and was last updated on 10/28/2016.

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	363LP0200X	Nurse Practitioner	Pediatrics	AP08986	LOUISIANA	No
2	363LP0200X	Nurse Practitioner	Pediatrics	884809	TEXAS	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	RN13082	OTHER	LOUISIANA	LICENSE NUMBER
2	AP131680	OTHER	TEXAS	LICENSE NUMBER
3	884809	OTHER	TEXAS	LICENSE NUMBER
4	AP08986	OTHER	LOUISIANA	LICENSE NUMBER

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: 4/28/2024

NPI Synchronization or Removal

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