Provider Demographics
NPI:1699732842
Name:KUIDA, EVELYN LEONIE (RN COHN-S)
Entity type:Individual
Prefix:MISS
First Name:EVELYN
Middle Name:LEONIE
Last Name:KUIDA
Suffix:
Gender:F
Credentials:RN COHN-S
Other - Prefix:MS
Other - First Name:EVELYN
Other - Middle Name:LEONIE
Other - Last Name:KUIDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12234 E CAMINO LOMA VIS
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85367-7348
Mailing Address - Country:US
Mailing Address - Phone:928-329-1050
Mailing Address - Fax:
Practice Address - Street 1:301 C ST
Practice Address - Street 2:USA YUMA PROVING GROUND HEALTH CLINIC BDG 990
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85365-9498
Practice Address - Country:US
Practice Address - Phone:928-328-3206
Practice Address - Fax:928-328-3197
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA235172163WX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0106XNursing Service ProvidersRegistered NurseOccupational Health