| Evana Health Services | |
|
13000 Harbor Center Dr Ste 102g Woodbridge VA 22192-2847 | |
| (571) 292-6272 | |
| Not Available |
| Full Name | Evana Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 13000 Harbor Center Dr Ste 102g, Woodbridge, Virginia |
| Authorized Official Name and Position | Evelyn Nuwordu (BUSINESS OWNER) |
| Authorized Official Contact | 5712926272 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evana Health Services 12526 Homestead Dr Nokesville VA 20181-1702 Ph: (571) 292-6272 | Evana Health Services 13000 Harbor Center Dr Ste 102g Woodbridge VA 22192-2847 Ph: (571) 292-6272 |
| NPI Number | 1891463675 |
|---|---|
| Provider Enumeration Date | 09/05/2021 |
| Last Update Date | 09/05/2021 |
| Certification Date | 09/05/2021 |
| Medicare PECOS PAC ID | 4789071499 |
|---|---|
| Medicare Enrollment ID | O20220427003111 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891463675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Evelyn Worlali Nuwordu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851835847 PECOS PAC ID: 1557648987 Enrollment ID: I20220427003132 |
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