Evans, Criston B

Evans, Criston B is an individual health care provider with primary practice located at 14532 Us Highway 23 , Waverly OH 45690. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Nursing Service Providers / Licensed Practical Nurse. Nursing Service Providers / Licensed Practical Nurse is her primary health care specialty. Evans, Criston B can be contacted via phone (740) 285-9624.

Contact Information

Primary practice address
14532 Us Highway 23 Waverly OH 45690
Phone: (740) 285-9624
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X CDCA.169327 Ohio
Nursing Service Providers / Licensed Practical Nurse 164W00000X 156080 Ohio

Profile Details

NPI number 1205342136
LBN Legal business name Evans, Criston B
Credentials CDCA
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2017
Last updated Sep 19th, 2019 - about 6 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 1205342136 NPPES
Ohio MEDICAID 0269005

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