Individual
KATHLEEN MARY EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, APRN-BC
Contact information
Practice address
44250 DEQUINDRE RD, STERLING HEIGHTS, MI 48314-1002
(248) 964-6101
(248) 964-9888
Mailing address
26901 BEAUMONT BLVD, SOUTHFIELD, MI 48033-3849
(485) 773-3313
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704132060
MI
363L00000X
Nurse Practitioner
Primary
4704132060
MI
Other
Enumeration date
08/13/2006
Last updated
01/19/2021
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