Evett, Natalie Gwyn

Evett, Natalie Gwyn is an individual health care provider with primary practice located at 1221 S Broadway , Lexington KY 40504-2701. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Evett, Natalie Gwyn can be contacted via phone (859) 258-4530.

Contact Information

Primary practice address
1221 S Broadway Lexington KY 40504-2701
Phone: (859) 258-4530
Fax: (859) 258-4870
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 3013147 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 3013147 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 3013147 Kentucky

Profile Details

NPI number 1508422288
LBN Legal business name Evett, Natalie Gwyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2019
Last updated Sep 7th, 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 1508422288 NPPES
Kentucky MEDICAID 7100613230

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