| NPI | 1235487000 |
|---|---|
| Former Name | EVELLAR MARISSA STEPHENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9275053) |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2014-03-04 |