Individual
MRS. CHARLOTTE J EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6211 WATERFORD BLVD, EVANSVILLE, IN 47715-2869
(812) 465-6202
(812) 465-3621
Mailing address
6211 WATERFORD BLVD, EVANSVILLE, IN 47715-2869
(812) 465-6202
(812) 465-3621
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71000408A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000343511
BCBS
IN
01
—
04367929410
DONLEY & CO
—
05
—
200171930
—
IN
01
—
7483165
AETNA
—
01
—
P00179584
RAILROAD MEDICARE
—
Enumeration date
12/28/2005
Last updated
05/14/2015
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