Evans, Gerri A

Evans, Gerri A is an individual health care provider with primary practice located at 748 Quincy Ave Ste 2A, Scranton PA 18510-1739. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Evans, Gerri A can be contacted via phone (570) 961-0851.

Contact Information

Primary practice address
748 Quincy Ave Ste 2A Scranton PA 18510-1739
Fax: (570) 344-4285
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X MW008591L Pennsylvania
Nursing Service Providers / Registered Nurse 163W00000X RN323049L Pennsylvania

Profile Details

NPI number 1104925999
LBN Legal business name Evans, Gerri A
Credentials RN,MSN,CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Aug 15th, 2013 - about 12 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 1104925999 NPPES
Pennsylvania MEDICAID 001815763

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