Individual
MR. MICHAEL STUART EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
(318) 424-6136
Mailing address
4236 HIGHWAY 527, HAUGHTON, LA 71037-9163
(318) 987-2374
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP03749
LA
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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