Individual
ELIZABETH D EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
51 SEWALL ST, PORTLAND, ME 04102-2643
(207) 774-5761
Mailing address
51 SEWALL ST, PORTLAND, ME 04102-2643
(207) 774-5761
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-582
ME
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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