Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. EVELINA AVETISOVA, AGPC-NP
Active Sole ProprietorMS. EVELINA AVETISOVA, AGPC-NP is a Gerontological Nurse Practitioner healthcare provider located in SHORELINE, Washington. NPI 1609657816 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · SHORELINE, WA
Registration Details
- NPI Number
- 1609657816
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 12, 2023 (2.7948142586019 yrs)
- Last Updated
- Sep 17, 2025
- Licenses
-
10017243 (OR)AP61494666 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
15214 AURORA AVE NSHORELINE, WA, 981336143Browse WA providers · Browse ZIP 98133
- Phone
- 8884056396
- Fax
- 4152527176
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
- Additional Specialty
- Gerontological Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.