Individual
WANDA JEAN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6309 HAMILTON ISLAND RD, HARRISON, TN 37341-9786
(423) 309-9453
Mailing address
6309 HAMILTON ISLAND RD, HARRISON, TN 37341-9786
(423) 309-9453
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
68032
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100030748
PHP TENNCARE
TN
01
—
3147031
BLUECROSS
TN
05
—
3622593
—
TN
01
—
430067188
TRAVELERS MEDICARE
TN
Enumeration date
04/10/2006
Last updated
12/12/2012
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