Individual
CARESS EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 ELMWOOD AVE, BUFFALO, NY 14207-3004
(716) 816-4480
(716) 871-6086
Mailing address
95 LYNDALE AVE, BUFFALO, NY 14223-3023
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
717815
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
717815
—
NY
Enumeration date
10/09/2019
Last updated
10/09/2019
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