Individual
DOUGLAS HOUSEMAN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
400 CONLEY LAKE RD, DEER LODGE, MT 59722-8708
(406) 415-6514
Mailing address
400 CONLEY LAKE RD, DEER LODGE, MT 59722-8708
(406) 415-6514
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP126490
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN-LIC-128574
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3429516-01
—
TX
05
—
3429516-02
—
TX
Enumeration date
10/28/2014
Last updated
08/14/2025
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