Individual
MRS. JANET ETCHISON EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
501 NORTH ELAM AVE, WESLEY LONG HOSPITAL, GREENSBORO, NC 27403
(336) 832-1818
(336) 832-1917
Mailing address
8280 NAUTICAL POINT DRIVE, BELEWS CREEK, NC 27009
(336) 595-2699
(336) 832-1917
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
108080
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
042216
NC
367500000X
Certified Registered Nurse Anesthetist
RN571928
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042216
AANA NO.
PA
05
—
8051079
—
NC
Enumeration date
04/14/2006
Last updated
10/04/2007
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