Individual
RICHALE MARIE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2651 E 115TH ST, CLEVELAND, OH 44104-2661
(216) 326-5371
Mailing address
2651 E 115TH ST, CLEVELAND, OH 44104-2661
(216) 326-5371
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN.CNP.0031144
OH
Other
Enumeration date
05/03/2022
Last updated
05/03/2022
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