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Individual
MR. ROY LEE EVANS JR.
Active
Individual
MR. ROY LEE EVANS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NNP-BC, PMHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
88395
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP5146
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
868036
—
AZ
Enumeration date
07/19/2006
Last updated
04/26/2022
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