Catherine Evangelista Aguaviva, APRN
Individual provider Active NPI Family Nurse Practitioner · Gainesville, FL
NPI 1417675562 · NPPES record last updated Nov 7, 2024
Key facts
- NPI
- 1417675562
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 11020108 (FL)
- Practice address
- 1601 SW Archer Rd
Gainesville, FL 32608-1135 - Phone
- (352) 376-1611
- NPI assigned
- Aug 15, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11020108 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11020108 | FL | Yes |
Addresses
Primary practice location
1601 SW Archer Rd
Gainesville, FL 32608-1135
Mailing address
1601 SW Archer Rd
Gainesville, FL 32608-1135
Phone (210) 748-5443
Other providers in Gainesville, FL
- Agency for Persons With Disabilities
- Shreya Rani Aggarwal
- Neha Agnihotri
- Heidi Agostinho
- Anthony B. Agrios
- Andrea Liz Aguilar
- Maria Lucia Aguilar
- Sophia Aguilar
- Johanna Aguilera
- Aguirre Orthodontics PA
All providers in Gainesville, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2024. 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.