Evans, Diane L

Evans, Diane L is an individual health care provider with primary practice located at 1300 28Th St S Suite 6, Great Falls MT 59405-5296. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Evans, Diane L can be contacted via phone (406) 731-8888.

Contact Information

Primary practice address
1300 28Th St S Suite 6 Great Falls MT 59405-5296
Fax: (406) 731-8876
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN019691 Montana

Profile Details

NPI number 1992706873
LBN Legal business name Evans, Diane L
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Apr 2nd, 2021 - about 3 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 1992706873 NPPES
Montana MEDICAID 0434070

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