Individual
MS. CHASITY R EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
2525 W UNIVERSITY AVE, SUITE 404, MUNCIE, IN 47303-3421
(765) 231-9494
(765) 587-4456
Mailing address
2525 W UNIVERSITY AVE, SUITE 404, MUNCIE, IN 47303-3421
(765) 231-9494
(765) 587-4456
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
71003791A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201043570
—
IN
Enumeration date
12/28/2011
Last updated
02/13/2017
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