Individual
ANN EVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
15611 POMERADO RD, POWAY, CA 92064-2437
(858) 675-3100
Mailing address
PO BOX 28199, SAN DIEGO, CA 92198-0199
(858) 613-8900
(858) 618-1523
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN433189
CA
Other
Enumeration date
10/13/2006
Last updated
08/10/2007
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