Individual
COLLEEN ELIZABETH EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
801 MASSACHUSETTS AVE STE 5B, BOSTON, MA 02118-2605
(617) 414-5951
(617) 414-9201
Mailing address
960 MASSACHUSETTS AVE, BOSTON, MA 02118-2620
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN2299916
MA
Other
Enumeration date
10/19/2016
Last updated
05/22/2023
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