Individual
TETYANA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
2528 MOUNTAIN RD STE 102-204, PASADENA, MD 21122-7203
(443) 839-6928
Mailing address
2528 MOUNTAIN RD, PASADENA, MD 21122-7203
(443) 548-3733
(410) 360-1675
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
R173941
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R173941
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041988500
—
MD
Enumeration date
05/17/2011
Last updated
04/18/2023
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