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Evangeline Mahima Standridge
Family Nurse Practitioner in Ontario, Ohio
NPI 1174121156

Evangeline Mahima Standridge is a Family Nurse Practitioner based in Mansfield, OH and is specialized in Family. Evangeline Mahima Standridge practices in Ontario, OH. The NPI Number for Evangeline Mahima Standridge is 1174121156 and holds a License No. APRN11009632 (Ohio).

The current practice location address for Evangeline Mahima Standridge is 2021 Park Ave W, Ontario, OH and can be reached out via phone at 567-560-5558.

Location: 2021 Park Ave W, Ontario, OH, 44905-2205
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174121156
Provider Name
Evangeline Mahima Standridge
Credential
Provider Entity Type
Individual
Gender
Female
Address
2021 Park Ave W, Ontario, OH, 44905-2205
Phone Number
567-560-5558
Fax Number
Provider Enumeration Date
10/13/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2021 Park Ave W
City
Ontario
State
Ohio
Zip
44906-2259
Phone Number
567-560-5558
Fax Number
person
Provider Business Mailing Address Details
Address
2021 Park Ave W
City
Ontario
State
Ohio
Zip
44906-2259
Phone Number
567-560-5558
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
APRN11009632 (Florida)
Definition
Definition to come...
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