Chris Evans
Community Health Worker in Florissant, MO. Individual provider (NPI-1).
NPI number1821548074
StatusActive
Last updated in NPPESOct 12, 2016
Details
- NPI
- 1821548074
- Entity type
- Individual (NPI-1)
- Name
- Chris Evans
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 12, 2016
- Last updated
- Oct 12, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | lc001509584 | – | Yes |
Practice location
15542 Chaste StFlorissant, MO 63034-2171
Phone 800-240-6976
Mailing address
15542 Chaste StFlorissant, MO 63034-2171
Is something wrong?
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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