Evans, Marla Mcdonough

Evans, Marla Mcdonough is an individual health care provider with primary practice located at 1050 Reid Pkwy Suite 220, Richmond IN 47374-1160. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Evans, Marla Mcdonough can be contacted via phone (765) 962-9541.

Contact Information

Primary practice address
1050 Reid Pkwy Suite 220 Richmond IN 47374-1160
Fax: (765) 966-5952
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 71003590A Indiana

Profile Details

NPI number 1245538420
LBN Legal business name Evans, Marla Mcdonough
Credentials WHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2011
Last updated May 13th, 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 1245538420 NPPES
Indiana MEDICAID 201047620
Indiana MEDICAID 0266331
Indiana Other 000000960412

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