Individual
NANCY EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P
Contact information
Practice address
40 MITCHELL AVE., BINGHAMTON, NY 13903
(607) 723-1676
(607) 772-6304
Mailing address
72 STEWART RD, CONKLIN, NY 13748-1611
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
467097-1
NY
Other
Enumeration date
07/06/2007
Last updated
12/06/2010
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