Individual
MS. GLORIA ANN EVANS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
631 MAIN STREET, BETHEL, AK 99559
(907) 543-3773
(907) 543-3545
Mailing address
631 MAIN STREET, PO BOX 1908, BETHEL, AK 99559
(907) 543-3773
(907) 543-3545
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
514
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP93011
—
AK
Enumeration date
05/17/2006
Last updated
07/08/2007
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