Mcevoy, Colleen Ann

Mcevoy, Colleen Ann is an individual health care provider with primary practice located at 150 Pioneer Ln , Bishop CA 93514-2556. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Mcevoy, Colleen Ann can be contacted via phone (760) 873-2849.

Contact Information

Primary practice address
150 Pioneer Ln Bishop CA 93514-2556
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X NP16714 California

Profile Details

NPI number 1225251416
LBN Legal business name Mcevoy, Colleen Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
Last updated May 1st, 2015 - about 11 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 1225251416 NPPES
California MEDICAID FHC70543G

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