Individual
MELISSA DAWN EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
108 N 3RD ST, ALTAMONT, IL 62411-1409
(618) 881-0055
Mailing address
2915 N 2300 ST, BEECHER CITY, IL 62414-2138
(618) 292-1955
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.445679
IL
Other
Enumeration date
02/21/2024
Last updated
02/21/2024
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