Individual
BARBARA D EVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2625 E 62ND ST, SUITE 2010, INDIANAPOLIS, IN 46220-3191
(317) 251-6121
(317) 257-0390
Mailing address
250 N SHADELAND AVE, STE 130 - PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
28147776A
IN
363LF0000X
Family Nurse Practitioner
Primary
71004668A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201202290
—
IN
Enumeration date
08/20/2013
Last updated
08/19/2014
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