Individual
MS. LISA ANN EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1311 BRANDYWINE BLVD, WILMINGTON, DE 19809-2306
(302) 454-2400
Mailing address
25 CABOT CT, MEDIA, PA 19063-5525
(610) 733-0587
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
L1-0041999
DE
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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