Individual
KAREN W EVANS
Active
Individual
KAREN W EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
01499
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000994183
—
AL
05
—
1548936
—
LA
01
—
20-1249716
TAX ID
LA
01
—
P00391829
RAILROAD MEDICARE
GA
Enumeration date
12/01/2006
Last updated
11/17/2007
Update your record
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