Elizabeth Ann Evanich, BSN, ANP

Primary specialty

Gastroenterology Registered NurseTaxonomy code 163WG0100X

License

RN050197 Issued in AZ

Practice address

650 East Indian School Road
Phoenix, AZ 85012

Phone

(602) 277-5551

Fax

(602) 222-6567

NPI assigned

Jul 17, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Elizabeth Ann Evanich Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043238207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 W VERMONT AVENUE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85013",
            "telephone_number": "602-626-7207",
            "fax_number": "602-222-6562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 EAST INDIAN SCHOOL ROAD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85012",
            "telephone_number": "602-277-5551",
            "fax_number": "602-222-6567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANICH",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "BSN, ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gastroenterology",
            "state": "AZ",
            "license": "RN050197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "EVANICH",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "BSN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Evan B Eller MD PLC
• Cari Lynn Evanega, PTA
• Evangelina Gonzalez Speech LLC
• Mia Evangelista
• Venkata Evani, M.D.
• Brittany Evans, MSN,APRN, AGACNP-BC
• Charles Wilson Evans, MASSAGE THERAPIST
• Charlotte Evans
• Claire Marie Evans, FNP
• Edward Evans, MD

• Gastroenterology Registered Nurse in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Gastroenterology Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.