Individual
THERESA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ANP-BC
Contact information
Practice address
79 MACE RD, HAMPTON, NH 03842-2052
(857) 498-1023
Mailing address
79 MACE RD, HAMPTON, NH 03842-2052
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
217792
MA
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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