Individual
CARISSA N EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-2000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9704
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100097135
—
WI
Enumeration date
08/14/2018
Last updated
06/09/2022
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