Stacyann M Evans
Stacyann M Evans is a Nurse Practitioner in Copiague, New York. Qualified in 2023, 3 years ago. Practices with Long Island Select Healthcare, Inc, a 28-clinician group and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 3
- Licensed in
- NY
- In the registry since
- 2024
Practice location Address checks out
160 Beachview StCopiague, NY 11726-3602
Phone: (631) 464-1497
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence F353349-01 (NY) |
|---|
Record details
| NPI number | 1295593663 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 11, 2024 |
| Last updated in NPPES | March 11, 2024 |
| Certification date | March 11, 2024 |
| Mailing address | 160 Beachview St, Copiague, NY 11726-3602 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Long Island Select Healthcare, Inc — 28 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Copiague
-
Nazaire Baptiste
409 Parkside Ct, Copiague, NY 11726-4618 · (347) 827-9551