Individual
SARA M EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3901 GEORGIA ST NE STE B1, ALBUQUERQUE, NM 87110-1390
(505) 560-2517
Mailing address
3901 GEORGIA ST NE STE B1, ALBUQUERQUE, NM 87110-1390
(505) 560-2517
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
60516
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45587515
—
NM
Enumeration date
06/24/2020
Last updated
01/24/2024
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