Provider Demographics
NPI:1851142376
Name:PELAYO, EVELYN EVETTE (RN)
Entity Type:Individual
Prefix:MS
First Name:EVELYN
Middle Name:EVETTE
Last Name:PELAYO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:EVELYN
Other - Middle Name:EVETTE
Other - Last Name:GAMINO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:650 S HAZELWOOD ST
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92802-1422
Mailing Address - Country:US
Mailing Address - Phone:714-944-8788
Mailing Address - Fax:
Practice Address - Street 1:331 THE CITY DR S
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-3205
Practice Address - Country:US
Practice Address - Phone:714-935-6660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95302311163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health