Individual
TAMMY S EVANOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4950 NORTON HEALTHCARE BLVD STE 305, LOUISVILLE, KY 40241
(502) 394-6440
(502) 394-6465
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3004927
KY
Other
Enumeration date
07/28/2006
Last updated
10/14/2020
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