Provider Demographics
NPI:1891679247
Name:EGBE, EVELYN
Entity type:Individual
Prefix:
First Name:EVELYN
Middle Name:
Last Name:EGBE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 NW 50TH ST APT 101F
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68528-2226
Mailing Address - Country:US
Mailing Address - Phone:641-777-0597
Mailing Address - Fax:
Practice Address - Street 1:1600 NW 50TH ST APT 101F
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68528-2226
Practice Address - Country:US
Practice Address - Phone:641-777-0597
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-31
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant