Individual
MS. LATASHA EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
6232 MARKET ST, PHILADELPHIA, PA 19139-2922
(215) 444-7672
Mailing address
PO BOX 746722, ATLANTA, GA 30374-6722
(127) 339-7303
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
SP022724
PA
Other
Enumeration date
11/03/2020
Last updated
04/30/2025
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