Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 0024171104 | VA |
N | 363LF0000X | Nurse Practitioner - Family Medicine | 0024171104 | VA |
NPI | 1003244260 |
---|---|
Provider Name | Mrs. Evelyn Roxana Saldana |
First Address | Charlotte, NC 28260-0447 |
Second Address | Haymarket, VA 20169-6264 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/10/2013 |
Last Update Date | 28/10/2020 |