Individual
MRS. LOANA EDITH EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P. - C
Contact information
Practice address
2115 S FREMONT AVE, SUITE 4300, SPRINGFIELD, MO 65804-2239
(417) 820-3911
(417) 820-3924
Mailing address
2115 S FREMONT AVE, SUITE 4300, SPRINGFIELD, MO 65804-2239
(417) 820-3911
(417) 820-3924
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN072421
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184715484
—
MO
05
—
176559758
—
AR
01
—
2221
BLUE SHIELD
—
05
—
242641702
—
MO
01
—
431560263
TRICARE WEST
—
01
—
P00709666
RAILROAD MEDICARE
—
Enumeration date
09/28/2006
Last updated
07/13/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us