Evetts, Lynne M
Evetts, Lynne M is an individual health care provider with primary practice located at 300 Colorado Ave , Pueblo CO 81004-2006. 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. Evetts, Lynne M can be contacted via phone (719) 543-8711.Contact Information
Primary practice address
300 Colorado Ave
Pueblo CO 81004-2006
Phone: (719) 543-8711
Fax: (719) 543-5340
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 100124 | Colorado |
Profile Details
NPI number | 1023054541 |
---|---|
LBN Legal business name | Evetts, Lynne M |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 22nd, 2006 |
Last updated | Feb 4th, 2013 - about 11 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 | 1023054541 | NPPES |
Colorado | MEDICAID | 36889270 |
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