Individual
SHAUN EVANS
Active
Individual
SHAUN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
201863-4406
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107027461101
IHC
UT
01
—
107027461102
IHC
UT
01
—
190382600
US DEPT OF LABOR
UT
01
—
23201
HEALTHY U
UT
01
—
270041325SSE
EDUCATORS MUTUAL
UT
05
—
8053049
—
NC
01
—
820936
DESERET MUTUAL
UT
01
—
8401401924SHE
EDUCATORS MUTUAL
UT
01
—
841401924
PHCS
UT
01
—
QM0000073445
ALTIUS
UT
01
—
QM0000076595
ALTIUS
UT
01
—
QM0000076612
ALTIUS
UT
01
—
TPRA08324
MOLINA
UT
Enumeration date
07/24/2006
Last updated
03/26/2008
Update your record
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