Federici, Evan Douglas

Federici, Evan Douglas is an sole proprietor health care provider with primary practice located at 615 Hope Rd Ste 3B , Eatontown NJ 07724-1273. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Federici, Evan Douglas can be contacted via phone (732) 724-1234.

Contact Information

Primary practice address
615 Hope Rd Ste 3B Eatontown NJ 07724-1273
Phone: (732) 724-1234
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 26NR20562100 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 26NJ15110100 New Jersey

Profile Details

NPI number 1598595159
LBN Legal business name Federici, Evan Douglas
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2024
Last updated Apr 13th, 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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