Evans, Charlotte J

Evans, Charlotte J is an individual health care provider with primary practice located at 6211 Waterford Blvd , Evansville IN 47715-2869. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Evans, Charlotte J can be contacted via phone (812) 465-6202.

Contact Information

Primary practice address
6211 Waterford Blvd Evansville IN 47715-2869
Phone: (812) 465-6202
Fax: (812) 465-3621
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71000408A Indiana

Profile Details

NPI number 1639156904
LBN Legal business name Evans, Charlotte J
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
Last updated May 14th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639156904 NPPES
Indiana MEDICAID 200171930
Indiana Other 000000343511
Indiana Other 04367929410
Indiana Other 7483165
Indiana Other P00179584

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