National Provider Identifier
Maura Elizabeth Evanco, M.S., ED
Maura Elizabeth Evanco, M.S., ED is listed in the NPPES registry with a primary specialty of Specialist in Depew, NY and a listed phone number of (716) 901-8700.
Profile Overview
- NPI
- 1992173348
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- September 02, 2015
- Last Updated
- September 02, 2015
Practice Location
- 2049 George Urban Blvd
- Depew, NY 14043-1823
Phone: (716) 901-8700
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1992173348
- Entity Type
- Individual
- Last Name
- Evanco
- First Name
- Maura
- Middle Name
- Elizabeth
- Name Prefix
- MS.
- Credential
- M.S., ED
- Mailing Street Address
- 2049 George Urban Blvd
- Mailing City
- Depew
- Mailing State
- NY
- Mailing ZIP Code
- 14043-1823
- Mailing Country
- US
- Mailing Phone
- (716) 901-8700
- Mailing Fax
- (716) 901-8800
- Practice Street Address
- 2049 George Urban Blvd
- Practice City
- Depew
- Practice State
- NY
- Practice ZIP Code
- 14043-1823
- Practice Country
- US
- Practice Phone
- (716) 901-8700
- Practice Fax
- (716) 901-8800
- Enumeration Date
- September 02, 2015
- Last Updated
- September 02, 2015
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)