Individual
MRS. ANGELA MARY EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
301 LAKE STREET, MISERICORDIA UNIVERSITY'S HEALTH & WELLNESS CENTER, DALLAS, PA 18612
(570) 674-6276
Mailing address
396 STATE ROUTE 415, NOXEN, PA 18636
(570) 639-1105
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP011624
PA
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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