Doctor Name: | MR. EVAN NATHAN DICKSTEIN |
NPI Number: | 1942688379 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | NP-PMH |
License Number: | R200789 |
Business Practice Address: | 5301 Buckeystown Pike Frederick, MD - 217048370 |
Business Phone Number: | 3017330330 |
Business Fax Number: | 3017334038 |
Mailing Address: | 13121 Brook Lane, HAGERSTOWN |
State: | MD |
Postal Code: | 217421945 |
Phone Number: | 3017330330 |
Fax Number: | 3017334038 |
NPI Enumeration Date: | 05/18/2015 |
NPI Last Update Date: | 09/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163W00000X |
License Number: | R200789 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N. |