Individual
SUSAN K EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
EMILE 42ND ST, OMAHA, NE 68198-0001
(402) 559-7200
(402) 559-9344
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 559-6195
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25052
NE
207Q00000X
Family Medicine Physician
49321
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025464000
—
NE
05
—
1548459159
—
IA
Enumeration date
10/19/2007
Last updated
07/19/2016
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