Evans, Tara H

Evans, Tara H is an individual health care provider with primary practice located at 100 Healthy Way Ste 1200 , Anderson SC 29621-7916. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Evans, Tara H can be contacted via phone (864) 512-6140.

Contact Information

Primary practice address
100 Healthy Way Ste 1200 Anderson SC 29621-7916
Phone: (864) 512-6140
Fax: (864) 512-6149
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 17810 South Carolina

Profile Details

NPI number 1528327418
LBN Legal business name Evans, Tara H
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2012
Last updated Nov 23rd, 2022 - 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 1528327418 NPPES
South Carolina MEDICAID NP2057

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