Individual
JANE EVINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
63 N MAIN ST, PORT ALLEGANY, PA 16743-1369
(814) 642-9500
Mailing address
88 WRIGHT RD, ELDRED, PA 16731-3328
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN341722L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019434310003
—
PA
Enumeration date
03/14/2007
Last updated
07/09/2007
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