Individual
MS. ANDREA GRACIE EVANS I
Active
Individual
MS. ANDREA GRACIE EVANS I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
884809
TX
363LP0200X
Pediatric Nurse Practitioner
AP08986
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
884809
LICENSE NUMBER
TX
01
—
AP08986
LICENSE NUMBER
LA
01
—
AP131680
LICENSE NUMBER
TX
01
—
RN13082
LICENSE NUMBER
LA
Enumeration date
08/23/2016
Last updated
10/28/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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