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Martha B Evans, NNP-BC, APNP

Nurse Practitioner, Neonatal, Critical Care in Wauwatosa, WI. Individual provider (NPI-1).

NPI number1245482249
StatusActive
Last updated in NPPESAug 26, 2013

Details

NPI
1245482249
Entity type
Individual (NPI-1)
Name
Martha B Evans
Credential
NNP-BC, APNP
Sex
Female
Sole proprietor
No
Enumeration date
Oct 21, 2008
Last updated
Aug 26, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LN0005X Nurse Practitioner, Neonatal, Critical Care2769-033WIYes
363LN0005X Nurse Practitioner, Neonatal, Critical Care110053NE

Practice location

9000 W Wisconsin Ave
Wauwatosa, WI 53226-4874

Phone 414-266-2950

Mailing address

W155n7027 Amberleigh Cir
Menomonee Falls, WI 53051-5089

Phone 262-293-9200

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