Individual
MRS. MICHELLE LEE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1430 NORTH HWY, JACKSON, MN 56143-1093
(507) 847-2420
(504) 847-6241
Mailing address
4718 450TH ST, GRANVILLE, IA 51022-7512
(712) 348-5496
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5520
MN
Other
Enumeration date
11/22/2017
Last updated
11/22/2017
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