Individual
MR. DEREK GWYN EVANS
Active
Individual
MR. DEREK GWYN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
276242
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
95000142
CA
Other
Enumeration date
02/08/2010
Last updated
01/09/2015
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