Individual
MRS. MITZI FOWLER EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
22245 YORKSHIRE DR E, ATHENS, AL 35613-2405
(256) 232-8631
Mailing address
22245 YORKSHIRE DR E, ATHENS, AL 35613-2405
(256) 232-8631
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-059174
AL
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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