Individual
MARIAH EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
111 N NAPPANEE ST, ELKHART, IN 46514-1957
(574) 522-0265
Mailing address
111 N NAPPANEE ST, ELKHART, IN 46514-1957
(574) 522-0265
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10000990A
IN
Other
Enumeration date
07/10/2008
Last updated
02/23/2024
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