Individual
ELLA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 DEWEY AVE, POTEAU, OK 74953-4215
(918) 647-4535
(918) 647-4535
Mailing address
PO BOX 846, POTEAU, OK 74953-0846
(918) 647-4535
(918) 647-4535
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
193400000X
OK
Other
Enumeration date
07/27/2026
Last updated
07/28/2026
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