Individual
KIMBERLY EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4815 LIBERTY AVE STE 340, PITTSBURGH, PA 15224-2156
(412) 681-4401
(412) 688-7555
Mailing address
4815 LIBERTY AVE STE 340, PITTSBURGH, PA 15224-2156
(412) 681-4401
(412) 688-7555
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP019573
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1035905110001
—
PA
01
—
SP019573
CRNP LICENSE
PA
Enumeration date
11/09/2018
Last updated
09/22/2022
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