Individual
MS. ELIZABETH LYNN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
113 SALEM TPKE STE 1, NORWICH, CT 06360-6484
(860) 237-5458
Mailing address
6 RESEARCH DR STE 105, SHELTON, CT 06484-6228
(203) 210-6340
(203) 502-2615
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN1054
HI
363L00000X
Nurse Practitioner
NP15730
CA
363LA2200X
Adult Health Nurse Practitioner
Primary
005169
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851368393
—
CT
Enumeration date
03/03/2006
Last updated
04/29/2022
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