Individual
ERIC EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
6916 KALGAN RD NE, RIO RANCHO, NM 87144-3529
(505) 903-2741
Mailing address
6916 KALGAN RD NE, RIO RANCHO, NM 87144-3529
(505) 903-2741
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-02701
NM
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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