Doctor Name: | MS. EVELYN MARIE FOX |
NPI Number: | 1992062590 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 57201 |
Business Practice Address: | 430 Central Ave Building 1750 Jbphh, HI - 96860 |
Business Phone Number: | 8084744242 |
Business Fax Number: | |
Mailing Address: | 430 Central Ave, Building 1750 JBPHH |
State: | HI |
Postal Code: | 96860 |
Phone Number: | 8084744242 |
Fax Number: | |
NPI Enumeration Date: | 04/19/2012 |
NPI Last Update Date: | 05/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WG0000X |
License Number: | 57201 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | General Practice |
Taxonomy Definition: |