Provider Demographics
NPI:1255701868
Name:HART, EVELYNE (RN)
Entity type:Individual
Prefix:PROF
First Name:EVELYNE
Middle Name:
Last Name:HART
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 1:16354 ELLA BLVD
Mailing Address - Street 2:#2104
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-4605
Mailing Address - Country:US
Mailing Address - Phone:281-455-0088
Mailing Address - Fax:832-602-5177
Practice Address - Street 1:16354 ELLA BLVD
Practice Address - Street 2:#2104
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-4605
Practice Address - Country:US
Practice Address - Phone:281-455-0088
Practice Address - Fax:832-602-5177
Is Sole Proprietor?:No
Enumeration Date:2015-09-25
Last Update Date:2015-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX238045163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health