Evans, Georgiana

Evans, Georgiana is an individual health care provider with primary practice located at 1 Long Wharf Dr , New Haven CT 06511-5991. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Addiction (Substance Use Disorder), Nursing Service Providers / Psychiatric/Mental Health, Adult. Nursing Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Evans, Georgiana can be contacted via phone (203) 781-4600.

Contact Information

Primary practice address
1 Long Wharf Dr New Haven CT 06511-5991
Phone: (203) 781-4600
Fax: (203) 781-4624
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X 41652 Connecticut
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 41652 Connecticut

Profile Details

NPI number 1922438043
LBN Legal business name Evans, Georgiana
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2013
Last updated Nov 27th, 2013 - about 12 years ago

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 1922438043 NPPES
Connecticut MEDICAID 004041000
Connecticut MEDICAID 004082286
Connecticut MEDICAID 008022622
Connecticut MEDICAID 004082260
Connecticut MEDICAID 008003745
Connecticut MEDICAID 008022626

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