Provider Demographics
NPI:1295013266
Name:EVANS, SABRINA GAIL (FNP)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:GAIL
Last Name:EVANS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:236 WEST GARDEN STREET
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32502
Mailing Address - Country:US
Mailing Address - Phone:850-469-0020
Mailing Address - Fax:850-469-0097
Practice Address - Street 1:236 WEST GARDEN STREET
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32502
Practice Address - Country:US
Practice Address - Phone:850-469-0020
Practice Address - Fax:850-469-0097
Is Sole Proprietor?:No
Enumeration Date:2011-07-25
Last Update Date:2015-12-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLARNP9375001207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAFNP20950OtherSTATE OF CALIFORNIA