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

Edil Evangelista, MSNRNPHNFNPCCCRN

Individual provider Family Nurse Practitioner · NPI 1184272759

Edil Evangelista, MSNRNPHNFNPCCCRN is a Family Nurse Practitioner in Lake Elsinore, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019

Practice location Address checks out

425 Diamond Dr Ste 105
Lake Elsinore, CA 92530-4495
Phone: (951) 674-8779
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95012122 (CA)

Record details

NPI number1184272759
Entity typeIndividual (Type 1)
GenderMale
Credentials MSNRNPHNFNPCCCRN
Sole proprietorYes
NPI enumeratedAugust 28, 2019
Last updated in NPPESOctober 1, 2019

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