Individual
TREVOR JAMES EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1025 NEW MOODY LN, LA GRANGE, KY 40031-9154
(502) 222-5388
Mailing address
10007 SHINING WILLOW DR APT 102, LOUISVILLE, KY 40241-3147
(801) 979-2451
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28237068A
IN
367500000X
Certified Registered Nurse Anesthetist
1166968
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
132048
MT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300019021
—
IN
05
—
7100666370
—
KY
Enumeration date
04/08/2017
Last updated
10/09/2025
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