Provider Demographics
NPI:1104581941
Name:STRAUGHTER, EVELYN (APRN FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:EVELYN
Middle Name:
Last Name:STRAUGHTER
Suffix:
Gender:F
Credentials:APRN FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8014 BRONZEROCK DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78244-3333
Mailing Address - Country:US
Mailing Address - Phone:210-901-3543
Mailing Address - Fax:
Practice Address - Street 1:8014 BRONZEROCK DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78244-3333
Practice Address - Country:US
Practice Address - Phone:210-901-3543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-06
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX948267163W00000X
TX1130715363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse