Provider Demographics
NPI:1669661765
Name:CARVER, EVELYN MORELL (RN,BSN)
Entity Type:Individual
Prefix:MS
First Name:EVELYN
Middle Name:MORELL
Last Name:CARVER
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 1:3600 TELEGRAPH AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-2427
Mailing Address - Country:US
Mailing Address - Phone:510-595-6322
Mailing Address - Fax:510-595-6310
Practice Address - Street 1:3600 TELEGRAPH AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-2427
Practice Address - Country:US
Practice Address - Phone:510-595-6322
Practice Address - Fax:510-595-6310
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-15
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN 251909163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health