Provider Demographics
NPI:1851915896
Name:EVELYN, ANTOINETTE ELDAYRIE (DNP, APRN)
Entity Type:Individual
Prefix:
First Name:ANTOINETTE
Middle Name:ELDAYRIE
Last Name:EVELYN
Suffix:
Gender:F
Credentials:DNP, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 SW 3RD ST
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-1132
Mailing Address - Country:US
Mailing Address - Phone:352-664-2281
Mailing Address - Fax:352-756-4734
Practice Address - Street 1:101 SW 3RD ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-1132
Practice Address - Country:US
Practice Address - Phone:352-664-2281
Practice Address - Fax:352-756-4734
Is Sole Proprietor?:No
Enumeration Date:2020-06-05
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11007364363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics