Individual
EMILY CAROLYN EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
60 N 36TH ST, PHILADELPHIA, PA 19104-5639
(267) 359-5741
Mailing address
60 N 36TH ST, PHILADELPHIA, PA 19104-5639
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
363AM0700X
Medical Physician Assistant
Primary
MA067523
PA
Other
Enumeration date
06/01/2020
Last updated
01/20/2026
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