Individual
MARY J EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNFA
Contact information
Practice address
250 E LIBERTY ST, SUITE 1005, LOUISVILLE, KY 40202-1530
(502) 589-4448
(502) 589-1209
Mailing address
250 E LIBERTY ST, SUITE 1005, LOUISVILLE, KY 40202-1530
(502) 589-4448
(502) 589-1209
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
1025933
KY
163WR0006X
Registered Nurse First Assistant
28122666A
IN
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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