Evans, Sue

Evans, Sue is an individual health care provider with primary practice located at 317 Irene Ave , Ironton MN 56455. She recently has only one registered license in Nursing Service Providers / Home Health, which is considered as her primary health care specialty. Evans, Sue can be contacted via phone (218) 546-6242.

Contact Information

Primary practice address
317 Irene Ave Ironton MN 56455
Phone: (218) 546-6242
Fax: (218) 772-0326
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Home Health 163WH0200X 1965021 Minnesota

Profile Details

NPI number 1477128072
LBN Legal business name Evans, Sue
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2021
Last updated May 25th, 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 1477128072 NPPES
Minnesota MEDICAID 1669628921
Minnesota MEDICAID 1124458005

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