Individual
ELIZABETH MARIE C EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADULT NP
Contact information
Practice address
3821 MASTHEAD ST NE, ALBUQUERQUE, NM 87109-4679
(505) 998-7400
(505) 998-7741
Mailing address
3821 MASTHEAD ST NE, ALBUQUERQUE, NM 87109-4679
(505) 998-7400
(505) 998-7741
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R30250
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43587038
—
NM
Enumeration date
03/25/2006
Last updated
03/19/2013
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