Evangeline Mahima Standridge

NPI #1174121156 in Ontario, Ohio

Provider Information

NPI Number
1174121156
Entity Type
Individual
Name
Evangeline Mahima Standridge
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Oct 13, 2020
Last Updated
Dec 9, 2021

Practice Location

Address
2021 PARK AVE W
State
Ohio
ZIP Code
44906-2259
Phone
(567) 560-5558

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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