Individual
MR. WADE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
850 HOSPITAL RD STE 2200, INDIANA, PA 15701-3663
(724) 464-0270
Mailing address
640 KOLTER DR, INDIANA, PA 15701-3570
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP024837
PA
Other
Enumeration date
11/16/2021
Last updated
02/28/2022
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