Individual
EVELYN J WILCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
17720 SE MILL PLAIN BLVD, VANCOUVER, WA 98683-7583
(360) 823-2020
Mailing address
1111 ARCHWOOD DR SW UNIT 382, OLYMPIA, WA 98502-5606
(956) 266-0473
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
695141
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157387502
—
TX
Enumeration date
07/26/2006
Last updated
07/24/2024
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