Individual ProviderAltavia EvansNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3539 Little Rd, Trinity, FL 34655-1811(727) 846-9419(352) 277-5348PECOS EnrollmentBased on the most recent information from CMS, provider Altavia Evans does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:24 AM.Profile DetailsProvider ID1720774151Provider TypeIndividualFull NameEvans, AltaviaGenderFemaleSole ProprietorYesEnumeration Date4/18/2023Last Updated12/15/2023Contact InformationPractice LocationPractice Address3539 Little Rd, Trinity, FL 34655-1811Phone(727) 846-9419Fax(727) 816-8707Mailing LocationMailing Address5400 Pinehurst Dr, Spring Hill, FL 34606-3833Phone(352) 277-5348Fax(352) 606-2857Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAPRN11022177Florida