Individual
DAWN LESLIE EVERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
900 INDIANA AVE STE D, PUEBLO, CO 81004-3767
(719) 924-9021
(719) 924-9166
Mailing address
900 INDIANA AVE STE D, PUEBLO, CO 81004-3767
(719) 924-9021
(719) 924-9166
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
81123
CO
363LF0000X
Family Nurse Practitioner
Primary
4650
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87339056
—
CO
Enumeration date
09/25/2005
Last updated
08/05/2020
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