Individual
MRS. ELIZABETH FAYE EVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
455 S LANDMARK AVE, BLOOMINGTON, IN 47403-5004
(812) 336-5723
Mailing address
2876 QUINCY RD, QUINCY, IN 47456-8621
(317) 902-9397
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28185437A
IN
Other
Enumeration date
09/16/2016
Last updated
09/16/2016
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