Evita Kvista
Nurse Practitioner - Gerontology
225 S Linder Rd Apt B301
Eagle
, Idaho 83616-4426
Evita Kvista
Nurse Practitioner - Gerontology
225 S Linder Rd Apt B301
Eagle
, Idaho 83616-4426
(208) 412-9622
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Evita Kvista
- 225 S Linder Rd Apt B301
- Eagle, ID
- Zip : 83616-4426
- Phone : (208) 412-9622
Second Address
- Evita Kvista
- 225 S Linder Rd Apt B301
- Eagle, ID
- Zip : 83616-4426
- Phone : (208) 412-9622
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | 65119 | ID |
National Provider Identifier
| NPI | 1013594092 |
|---|---|
| Provider Name | Evita Kvista |
| First Address | Eagle, ID 83616-4426 |
| Second Address | Eagle, ID 83616-4426 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/03/2021 |
| Last Update Date | 25/03/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.