Individual
JOHN C EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
145 MEMORIAL DR., BROKEN BOW, NE 68822
(308) 870-2111
Mailing address
528 WESTRIDGE DR., BROKEN BOW, NE 68822
(308) 870-2111
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
100673
NE
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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