Provider Demographics
NPI:1154097095
Name:PAUL, EVELINE T (APRN/DNP)
Entity Type:Individual
Prefix:
First Name:EVELINE
Middle Name:T
Last Name:PAUL
Suffix:
Gender:F
Credentials:APRN/DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 751649
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28275-1649
Mailing Address - Country:US
Mailing Address - Phone:843-789-1620
Mailing Address - Fax:843-724-2440
Practice Address - Street 1:615 WESLEY DR STE 200
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-7251
Practice Address - Country:US
Practice Address - Phone:843-571-6880
Practice Address - Fax:843-571-1387
Is Sole Proprietor?:No
Enumeration Date:2021-08-20
Last Update Date:2022-10-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SC25316363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily