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Organization subpart
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Provider details

NPI number
Authorized official
CARMEN RASEAN EVANS DR. FNP-BC,PMHNP-BC (NURSE PRACTITIONER)
(313) 282-8538
Entity
Organization

Contact information

Practice address
3020 PACKARD RD, YPSILANTI, MI 48197-2000
(313) 282-8538
Mailing address
41262 SOUTHWIND DR, CANTON, MI 48188-3122
(313) 282-8538

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
03/10/2026
Last updated
04/24/2026
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