Individual
LEDA THERES EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
1175 WILSON AVE NW, WALKER, MI 49534-6407
(616) 685-8650
(616) 791-2160
Mailing address
1900 44TH ST SE, KENTWOOD, MI 49508-5008
(616) 685-1808
(616) 685-8099
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704256163
MI
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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