MARY K EVANGELISTA

EAST CHICAGO, IN
NPI1881114767
Former NameMARY K ANDERSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71007197A)
Enumeration Date2017-06-22
Last Update Date2018-09-10
Business Address
MARY K EVANGELISTA FNP
4321 FIR ST
EAST CHICAGO, IN 46312-3049
Phone number: 219-765-0597
Mailing Address
MARY K EVANGELISTA FNP
4321 FIR ST
EAST CHICAGO, IN 46312-3049
Phone number: 219-392-7224