Organization
EVOLVE HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TEFFT (OWNER/MANAGER)
(253) 514-3991
Entity
Organization
Contact information
Practice address
8609 STATE ROUTE 302 NW, GIG HARBOR, WA 98329-9203
(253) 514-3991
Mailing address
1309 COFFEEN AVE STE 3723, SHERIDAN, WY 82801-5777
(253) 514-3991
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
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