Individual
PHYLLIS EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8501 TANNER WILLIAMS RD, US COAST GUARD ATC MOBILE/HSWL, MOBILE, AL 36608-8322
(251) 441-6113
Mailing address
106D WATER ST, FORT WALTON BEACH, FL 32548-3966
(850) 225-4587
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-052164
AL
163W00000X
Registered Nurse
RN 9181702
FL
Other
Enumeration date
01/06/2012
Last updated
01/06/2012
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