Provider Demographics
NPI:1821801382
Name:MIGUEL-CULVER, EVELYN JANET (FNP)
Entity type:Individual
Prefix:MRS
First Name:EVELYN
Middle Name:JANET
Last Name:MIGUEL-CULVER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:EVELYN
Other - Middle Name:JANET
Other - Last Name:MIGUEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2357 EADS ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90031-1016
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2357 EADS ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90031-1016
Practice Address - Country:US
Practice Address - Phone:323-385-8095
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-29
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95027302363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily