Evans, Susan

Evans, Susan is an individual health care provider with primary practice located at 255 W Bullard Ave Suite 124, Clovis CA 93612-0861. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Evans, Susan can be contacted via phone (559) 297-1300.

Contact Information

Primary practice address
255 W Bullard Ave Suite 124 Clovis CA 93612-0861
Phone: (559) 297-1300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 7286 California

Profile Details

NPI number 1669584033
LBN Legal business name Evans, Susan
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Feb 26th, 2009 - about 15 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 1669584033 NPPES
California MEDICAID 456373

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