person
Maria Lourdes Evangelista, CRNP-FAMILY
Family Nurse Practitioner in Dundalk, Maryland
NPI 1275164139

Maria Lourdes Evangelista is a Family Nurse Practitioner based in White Marsh, MD and is specialized in Family. Maria Lourdes Evangelista practices in Dundalk, MD and has the professional credentials of CRNP-FAMILY. The NPI Number for Maria Lourdes Evangelista is 1275164139 and holds a License No. R172336 (Maryland).

The current practice location address for Maria Lourdes Evangelista is 1576 Merritt Blvd Ste 18, Dundalk, MD and can be reached out via phone at 855-527-7246 and via fax at 866-229-5063. You can also correspond with Maria Lourdes Evangelista through the mailing address at 5728 FIELDCREST DR, WHITE MARSH, MD - 21162-1143 (mailing address contact number: 410-256-0373).

Location: 1576 Merritt Blvd Ste 18, Dundalk, MD, 21162-1143
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Provider Profile Details
NPI Number
1275164139
Provider Name
Maria Lourdes Evangelista
Credential
CRNP-FAMILY
Provider Entity Type
Individual
Gender
Female
Address
1576 Merritt Blvd Ste 18, Dundalk, MD, 21162-1143
Phone Number
855-527-7246
Fax Number
866-229-5063
Provider Enumeration Date
01/30/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0804 05 MD
institution
Provider Business Practice Location Address Details
Address
1576 Merritt Blvd Ste 18
City
State
Zip
21222-2132
Phone Number
855-527-7246
Fax Number
866-229-5063
person
Provider Business Mailing Address Details
Address
5728 Fieldcrest Dr
City
State
Zip
21162-1143
Phone Number
410-256-0373
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R172336 (Maryland)
Definition
Definition to come...
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