Evans, Marilyn Vivica

Evans, Marilyn Vivica is an individual health care provider with primary practice located at 1250 16Th St , Santa Monica CA 90404-1249. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Evans, Marilyn Vivica can be contacted via phone (424) 259-9440.

Contact Information

Primary practice address
1250 16Th St Santa Monica CA 90404-1249
Phone: (424) 259-9440
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 95114161 California

Profile Details

NPI number 1265007579
LBN Legal business name Evans, Marilyn Vivica
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2021
Last updated May 26th, 2021 - about 5 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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