Individual
LINDA M EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
360 E MALLARD DR, SUITE 125, BOISE, ID 83706-6644
(208) 336-8700
Mailing address
PO BOX 3207, IDAHO FALLS, ID 83403-3207
(208) 525-2090
(208) 525-2662
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
N-23688
ID
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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