Provider Demographics
NPI:1366671729
Name:DEMAIO, EVELYN (RN)
Entity Type:Individual
Prefix:MRS
First Name:EVELYN
Middle Name:
Last Name:DEMAIO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12336 NW 26TH CT
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-8005
Mailing Address - Country:US
Mailing Address - Phone:954-796-7674
Mailing Address - Fax:
Practice Address - Street 1:12336 NW 26TH CT
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-8005
Practice Address - Country:US
Practice Address - Phone:954-796-7674
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-07
Last Update Date:2009-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN2717172163W00000X
NYRN396986163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse