Provider Demographics
NPI:1235458233
Name:CASON, EVELYN MARIA (NP-BC)
Entity Type:Individual
Prefix:MS
First Name:EVELYN
Middle Name:MARIA
Last Name:CASON
Suffix:
Gender:F
Credentials:NP-BC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2600 MEMORIAL AVE STE 201B
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24501-2658
Mailing Address - Country:US
Mailing Address - Phone:678-591-9579
Mailing Address - Fax:434-528-0898
Practice Address - Street 1:2600 MEMORIAL AVE STE 201B
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501-2658
Practice Address - Country:US
Practice Address - Phone:434-528-0896
Practice Address - Fax:434-528-0898
Is Sole Proprietor?:No
Enumeration Date:2010-05-31
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024174692363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care