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Mrs. Mindy Evangelisti, PA-C
Medical Physician Assistant in Philadelphia, Pennsylvania
NPI 1083893218

Mindy Evangelisti is a Medical Physician Assistant based in Philadelphia, PA and is specialized in Medical. Mindy Evangelisti practices in Philadelphia, PA and has the professional credentials of PA-C. The NPI Number for Mindy Evangelisti is 1083893218 and holds a License No. 25MP00465500 (Pennsylvania).

The current practice location address for Mindy Evangelisti is 3401 N Broad St, Philadelphia, PA and can be reached out via phone at 215-707-2433.

Location: 3401 N Broad St, Philadelphia, PA, 19129-1302
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083893218
Provider Name
Mindy Evangelisti
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
3401 N Broad St, Philadelphia, PA, 19129-1302
Phone Number
215-707-2433
Fax Number
Provider Enumeration Date
10/24/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
87588820 01 CO MEDICAID GROUP NUMBER
C810776 01 CO MEDICAID GROUP NUMBER
C810212 01 CO MEDICARE GROUP NUMBER
50307711 05 CO
51858754 01 CO MEDICAID GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
3401 N Broad St
City
Philadelphia
State
Pennsylvania
Zip
19140-5103
Phone Number
215-707-2433
Fax Number
person
Provider Business Mailing Address Details
Address
3401 N Broad St
City
Philadelphia
State
Pennsylvania
Zip
19140-5103
Phone Number
215-707-2433
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
2470 (Colorado)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
25MP00465500 (New Jersey)
Definition
Definition to come...
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