Individual
AMBERLY GRACE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
677 HUBBARD RD, GALLOWAY, OH 43119-9462
(614) 949-9565
Mailing address
677 HUBBARD RD, GALLOWAY, OH 43119-9462
(614) 949-9565
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN . 282608
OH
163WC0200X
Critical Care Medicine Registered Nurse
RN . 282608
OH
163WE0003X
Emergency Registered Nurse
RN . 282608
OH
163WG0000X
General Practice Registered Nurse
RN . 282608
OH
163WH0200X
Home Health Registered Nurse
Primary
RN . 282608
OH
163WP0200X
Pediatric Registered Nurse
RN . 282608
OH
Other
Enumeration date
09/25/2009
Last updated
09/25/2009
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