Evangelina Pavelik Miller, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Benson, AZ
NPI 1144599515 · NPPES record last updated Sep 16, 2013
Key facts
- NPI
- 1144599515
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP4315 (AZ)
- Practice address
- 890 W 4TH St
Benson, AZ 85602-6437 - Phone
- (520) 586-3664
- NPI assigned
- Dec 14, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP4315 | AZ | Yes |
Addresses
Primary practice location
890 W 4TH St
Benson, AZ 85602-6437
Mailing address
2202 N Forbes Blvd
Tucson, AZ 85745-1412
Phone (520) 872-7536
Other providers in Benson, AZ
- Carter Mayberry
- Kevin McCrane
- Mary Quinn McFarlin
- Jennie Elise McMillian
- Douglas Eugene Miller
- Chine Quetzalcoatl Tan Myers
- Nazcare, Inc. - B.E.S.T. Wellness Center
- Nes Arizona Inc
- Stephanie Nichole O'Connor
- Edward Reginald Onofrio
All providers in Benson, AZ · Family Nurse Practitioner in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.