Individual
MARTHA B EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC, APNP
Contact information
Practice address
9000 W WISCONSIN AVE, WAUWATOSA, WI 53226-4874
(414) 266-2950
Mailing address
W155N7027 AMBERLEIGH CIR, MENOMONEE FALLS, WI 53051-5089
(262) 293-9200
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
110053
NE
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
2769-033
WI
Other
Enumeration date
10/21/2008
Last updated
08/26/2013
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