Individual
MR. ERIK EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, NNP-BC
Contact information
Practice address
14 COUNTRY TRAIL CT, LAKE SAINT LOUIS, MO 63367-5834
(636) 346-8361
Mailing address
108 WAVERLY WAY, ALEDO, TX 76008
(817) 440-2774
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2010017616
MO
363LN0000X
Neonatal Nurse Practitioner
Primary
2010017616
TX
Other
Enumeration date
07/15/2013
Last updated
12/09/2013
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