Evans, Stephanie Claire
Evans, Stephanie Claire is an individual health care provider with primary practice located at 230 N Rufe Snow Dr , Keller TX 76248-4226. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Evans, Stephanie Claire can be contacted via phone (817) 337-5503.Contact Information
Primary practice address
230 N Rufe Snow Dr
Keller TX 76248-4226
Phone: (817) 337-5503
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | NP08195, RN304751 | Ohio |
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | AP125780 | Texas |
Profile Details
NPI number | 1760575179 |
---|---|
LBN Legal business name | Evans, Stephanie Claire |
Credentials | PHD, APRN, CPNP-PC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 30th, 2006 |
Last updated | Jun 15th, 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 | 1760575179 | NPPES |
Ohio | MEDICAID | 2643661 | |
Ohio | Other | 000000585420 | |
Ohio | Other | 000000585420 | |
Ohio | Other | 421534506123 |
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