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:
Health care specialties
Specialty | Code | License # | 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 5 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 | 1952397952 | NPPES |
Colorado | MEDICAID | 87339056 |
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