Provider Demographics
NPI:1518777986
Name:EVEVSKY, ANNA ELLANA EDITH
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:ELLANA EDITH
Last Name:EVEVSKY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:583 DUNNBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:NY
Mailing Address - Zip Code:14580-1571
Mailing Address - Country:US
Mailing Address - Phone:585-775-5914
Mailing Address - Fax:
Practice Address - Street 1:583 DUNNBRIDGE DR
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:NY
Practice Address - Zip Code:14580-1571
Practice Address - Country:US
Practice Address - Phone:585-775-5914
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-08
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula