Individual
ROBERT JAMES EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 724-4500
Mailing address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 609-6925
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN210429
MA
363LA2100X
Acute Care Nurse Practitioner
088716-23
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3138060
—
NH
Enumeration date
08/08/2021
Last updated
04/29/2024
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