Tara Ingrid Evans, CMA
Technician, Personal Care Attendant in Bellevue, NE. Individual provider (NPI-1).
NPI number1609762467
StatusActive
Last updated in NPPESJun 17, 2025
Details
- NPI
- 1609762467
- Entity type
- Individual (NPI-1)
- Name
- Tara Ingrid Evans
- Credential
- CMA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 17, 2025
- Certification date
- Jun 17, 2025
- Last updated
- Jun 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | 107772 | NE | Yes |
Practice location
2705 Josephine StBellevue, NE 68147-1431
Phone 531-239-2321
Mailing address
2705 Josephine StBellevue, NE 68147-1431
Phone 531-239-2321
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