Individual
FAY C EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3700 W 10TH ST, SUITE 100, SEDALIA, MO 65301-2540
(660) 827-0015
(660) 827-7425
Mailing address
601 E 14TH ST, P O BOX 1706, SEDALIA, MO 65301-5972
(866) 678-5627
(660) 827-3742
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
135682
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
427941232
—
MO
01
—
500029741
PALMETTO GBA
MO
Enumeration date
07/07/2005
Last updated
06/09/2014
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