Evans, Erica R

Evans, Erica R is an individual health care provider with primary practice located at 2927 Pearson James Place , Lutz FL 33559. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Evans, Erica R can be contacted via phone (813) 428-5295.

Contact Information

Primary practice address
2927 Pearson James Place Lutz FL 33559
Phone: (813) 428-5295
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 9556166 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 11002496 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN11002496 Florida

Profile Details

NPI number 1801204193
LBN Legal business name Evans, Erica R
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2014
Last updated Jan 2nd, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801204193 NPPES
Florida MEDICAID 117895500

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