Individual
LYNNE M EVETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 COLORADO AVE, PUEBLO, CO 81004-2006
(719) 543-8711
(719) 543-5340
Mailing address
110 E ROUTT AVE, PUEBLO, CO 81004-2117
(719) 543-8711
(719) 543-5340
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
100124
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36889270
—
CO
Enumeration date
06/22/2006
Last updated
02/04/2013
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