Individual
MRS. MARLA M EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
71003590A
IN
363LW0102X
Women's Health Nurse Practitioner
Primary
APRN.CNP.0037303
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000960412
ANTHEM
—
05
—
0266331
—
OH
05
—
201047620
—
IN
Enumeration date
03/11/2011
Last updated
11/13/2024
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