Provider Demographics
NPI:1518336700
Name:SOSU, EVELYN (RN, BSN)
Entity Type:Individual
Prefix:
First Name:EVELYN
Middle Name:
Last Name:SOSU
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2929 GETTYSBURG RD
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-7253
Mailing Address - Country:US
Mailing Address - Phone:717-379-3269
Mailing Address - Fax:717-303-0273
Practice Address - Street 1:2929 GETTYSBURG RD
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-7253
Practice Address - Country:US
Practice Address - Phone:717-379-3269
Practice Address - Fax:717-303-0273
Is Sole Proprietor?:No
Enumeration Date:2015-09-18
Last Update Date:2015-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA06070501163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health