Individual
MIA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4400 LONG PRAIRIE RD, FLOWER MOUND, TX 75028-1892
(214) 343-6663
(214) 343-2814
Mailing address
1121 E SPRING CREEK PKWY, STE. 110 - #319, PLANO, TX 75074
(214) 343-6663
(214) 343-2814
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
182138
CO
363LN0000X
Neonatal Nurse Practitioner
0991890-NP
CO
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
144823
TX
Other
Enumeration date
09/20/2007
Last updated
04/30/2024
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