MS. EVELINA AVETISOVA AGPC-NP NPI 1609657816

NPI Information

NPI: 1609657816
Provider Name: MS. EVELINA AVETISOVA, AGPC-NP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
1230 7TH AVE
LONGVIEW, WA
ZIP 98632
Phone: (503) 813-2000
Get Directions

MS. Evelina Avetisova, AGPC-NP is a gerontology nurse practitioner in Longview, WA. MS. Evelina Avetisova, AGPC-NP NPI is 1609657816. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1230 7TH AVE
LONGVIEW, WA
ZIP 98632-166
Phone: (503) 813-2000

The NPI 1609657816 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/12/2023 and was last updated on 10/12/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	10017243	OREGON	No
2	363LG0600X	Nurse Practitioner	Gerontology	AP61494666	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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