Evert, Dawn Leslie

Evert, Dawn Leslie is an sole proprietor health care provider with primary practice located at 900 Indiana Ave Ste D , Pueblo CO 81004-3767. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Evert, Dawn Leslie can be contacted via phone (719) 924-9021.

Contact Information

Primary practice address
900 Indiana Ave Ste D Pueblo CO 81004-3767
Phone: (719) 924-9021
Fax: (719) 924-9166
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4650 Colorado
Nursing Service Providers / Registered Nurse 163W00000X 81123 Colorado

Profile Details

NPI number 1952397952
LBN Legal business name Evert, Dawn Leslie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2005
Last updated Aug 5th, 2020 - about 4 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 1952397952 NPPES
Colorado MEDICAID 87339056

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