Provider Demographics
NPI:1396550364
Name:DAGYTE, EVITA (FNP-C)
Entity type:Individual
Prefix:MS
First Name:EVITA
Middle Name:
Last Name:DAGYTE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MS
Other - First Name:EVITA
Other - Middle Name:
Other - Last Name:DAGYTE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP-C
Mailing Address - Street 1:9350 S CIMARRON RD UNIT 1056
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89178-2512
Mailing Address - Country:US
Mailing Address - Phone:949-395-3524
Mailing Address - Fax:
Practice Address - Street 1:9350 S CIMARRON RD UNIT 1056
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89178-2512
Practice Address - Country:US
Practice Address - Phone:949-395-3524
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-07
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV02250131363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care