Individual
MARY EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
645 MARYVILLE CENTRE DR, SAINT LOUIS, MO 63141-5846
(314) 364-3488
(314) 364-2049
Mailing address
645 MARYVILLE CENTRE DR, SAINT LOUIS, MO 63141-5846
(314) 364-3488
(314) 364-2049
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2016014608
MO
Other
Enumeration date
06/03/2016
Last updated
06/03/2016
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