# THERESA MARGARET EVANS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1477012029
- **Gender:** F
- **Credential:** APRN NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 112732 | NE | — |
| 363L00000X | Nurse Practitioner | A175030 | IA | Yes |

## Other

- **Enumeration date:** 03/13/2019
- **Last updated:** 08/25/2023
