Evans, Ida Katrina

Evans, Ida Katrina is an individual health care provider with primary practice located at 1034 N 500 W , Provo UT 84604-3380. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Neonatal Intensive Care, Physician Assistants & Advanced Practice Nursing Providers / Neonatal. Physician Assistants & Advanced Practice Nursing Providers / Neonatal is her primary health care specialty. Evans, Ida Katrina can be contacted via phone (801) 357-7414.

Contact Information

Primary practice address
1034 N 500 W Provo UT 84604-3380
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Neonatal Intensive Care 163WN0002X 324214-3201 Utah
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 324214-4405 Utah

Profile Details

NPI number 1841949401
LBN Legal business name Evans, Ida Katrina
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2022
Last updated Dec 8th, 2022 - about 2 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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