Individual
BETH ANN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
22070 HIGHWAY 59, SUITE C, ABITA SPRINGS, LA 70420-3606
(985) 875-2828
(985) 892-4684
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0102202217
VA
207R00000X
Internal Medicine Physician
Primary
DO.000451
LA
208000000X
Pediatrics Physician
0102202217
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00351871
—
MS
05
—
2400801
—
LA
Enumeration date
09/25/2006
Last updated
11/17/2015
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