Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Evolution Wound Management of Nj PC

Organization Nurse Practitioner · NPI 1366331811

Evolution Wound Management of Nj PC is a Nurse Practitioner in Lakewood, New Jersey. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

410 Monmouth Ave Apt 208
Lakewood, NJ 08701-3747
Phone: (720) 684-9159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1366331811
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joshua Emdur — Owner · (720) 684-9159
NPI enumeratedJune 30, 2025
Last updated in NPPESJune 30, 2025
Certification dateJune 30, 2025
Mailing address410 Monmouth Ave Apt 208, Lakewood, NJ 08701-3747

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