Mary Ann Evans, APRN
Nurse Practitioner, Family in Provo, UT. Individual provider (NPI-1).
NPI number1144404385
StatusActive
Last updated in NPPESJan 28, 2008
Details
- NPI
- 1144404385
- Entity type
- Individual (NPI-1)
- Name
- Ms. Mary Ann Evans
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 24, 2007
- Last updated
- Jan 28, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 216177-4405 | UT | Yes |
Practice location
1750 N Wymount Terrace DrProvo, UT 84602-4800
Phone 801-422-2771 · Fax 801-422-0761
Mailing address
1750 N Wymount Terrace DrProvo, UT 84602-4800
Phone 801-422-2771 · Fax 801-422-0761
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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