Individual
STEVEN W EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
201 W BLUE STARR DR, CLAREMORE, OK 74017-4227
(918) 341-4825
(918) 341-8158
Mailing address
201 W BLUE STARR DR, CLAREMORE, OK 74017-4227
(918) 341-4825
(918) 341-8158
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
086009
MO
363LF0000X
Family Nurse Practitioner
Primary
R0084568
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42597116
—
MO
01
—
760639661-007
BCBSOK
OK
Enumeration date
09/30/2005
Last updated
09/07/2011
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