Individual
SHARENE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 MEDICAL CENTER DR, DEPARTMENT OF RADIOLOGY, LEBANON, NH 03756-1000
(603) 650-5125
(603) 650-7483
Mailing address
1 MEDICAL CENTER DR, DEPARTMENT OF RADIOLOGY, LEBANON, NH 03756-1000
(603) 650-5125
(603) 650-7483
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
037225-23-12
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0NP2244
—
VT
05
—
30340712
—
NH
Enumeration date
07/14/2006
Last updated
12/01/2009
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