Individual
ELLEN A EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
675 WEST WASHINGTON AVE, MADISON, WI 53703-1108
(608) 257-9700
Mailing address
675 W WASHINGTON AVE, MADISON, WI 53703-2637
(608) 257-9700
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
485-023
WI
Other
Enumeration date
05/04/2006
Last updated
12/22/2020
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