Evelyn Gerace, LPN
Individual provider Active NPI Licensed Practical Nurse · University Park, PA
NPI 1972997484 · NPPES record last updated Mar 23, 2015
Key facts
- NPI
- 1972997484
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- PN073102L (PA)
- Practice address
- 502 Student Health Ctr
University Park, PA 16802-2129 - Phone
- (814) 865-6555
- Fax
- (814) 863-8464
- NPI assigned
- Mar 23, 2015
- 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 |
|---|---|---|---|
| PN073102L | PA | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Pennsylvania State University | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN073102L | PA | Yes |
Addresses
Primary practice location
502 Student Health Ctr
University Park, PA 16802-2129
Mailing address
502 Student Health Ctr
University Park, PA 16802-2129
Phone (814) 865-6555
Other providers in University Park, PA
- Valerie Ann Fulton
- Sharon H. Galvin
- David Garrison
- Janine M Gaul
- Michael Gay
- Lauren Amanda Ghriga
- Viqui Haydee Gildow
- James P Gill
- Kyle Glick
- Agatha Glusko
All providers in University Park, PA · Licensed Practical Nurse in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2015. 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.