| Doctor Name: | EVINA LUSTRIA NONATO |
| NPI Number: | 1356720114 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CPNP-PC |
| License Number: | 5007639 |
| Business Practice Address: | 3411 Graystone Pl Se Conover, NC - 286138200 |
| Business Phone Number: | 8283281118 |
| Business Fax Number: | 8283281119 |
| Mailing Address: | P.o. Box 1347, HICKORY |
| State: | NC |
| Postal Code: | 28603 |
| Phone Number: | 8283281118 |
| Fax Number: | 8283281119 |
| NPI Enumeration Date: | 05/27/2015 |
| NPI Last Update Date: | 05/27/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 5007639 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |