Evans, Etta
Evans, Etta is an individual health care provider with primary practice located at 1515 Ne Lawrie Tatum Rd , Lawton OK 73507-3002. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology is her primary health care specialty. Evans, Etta can be contacted via phone (580) 354-5000.Contact Information
Primary practice address
1515 Ne Lawrie Tatum Rd
Lawton OK 73507-3002
Phone: (580) 354-5000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 238764 | Texas |
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology | 363LX0001X | 238764 | Texas |
Profile Details
NPI number | 1073877460 |
---|---|
LBN Legal business name | Evans, Etta |
Credentials | NURSE PRACTITIONER |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 29th, 2012 |
Last updated | Dec 19th, 2018 - 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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