Individual
EVAN THOMAS GERVAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
464 RIVER RD, ANDOVER, MA 01810-4260
(978) 995-2866
Mailing address
464 RIVER RD, ANDOVER, MA 01810-4260
(978) 995-2866
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN2309588
MA
163WH0200X
Home Health Registered Nurse
Primary
RN2309588
MA
Other
Enumeration date
01/28/2019
Last updated
01/28/2019
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