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
Phone: (765) 962-9541
Fax: (765) 966-5952
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1245538420 | NPPES |
Indiana | MEDICAID | 201047620 | |
Indiana | MEDICAID | 0266331 | |
Indiana | Other | 000000960412 |
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