Individual
MISS BO HWA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1207 CHESTNUT ST FL 3, PHILADELPHIA, PA 19107-4131
(267) 725-0252
(215) 732-1046
Mailing address
1233 LOCUST ST FL 3, PHILADELPHIA, PA 19107-5400
(215) 985-4448
(215) 732-1145
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP012038
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102910509
—
PA
Enumeration date
01/29/2013
Last updated
07/21/2022
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