Evans, Donna P

Evans, Donna P is an individual health care provider with primary practice located at 834 Farrar Dr , Conway SC 29526-8747. 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. Evans, Donna P can be contacted via phone (843) 347-9487.

Contact Information

Primary practice address
834 Farrar Dr Conway SC 29526-8747
Phone: (843) 347-9487
Fax: (843) 347-9574
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2968 South Carolina

Profile Details

NPI number 1942317037
LBN Legal business name Evans, Donna P
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Jul 29th, 2009 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942317037 NPPES
South Carolina Other 20055544 SELECT HEALTH
South Carolina MEDICAID 7003984 SELECT HEALTH
South Carolina MEDICAID NP1018 SELECT HEALTH
South Carolina Other P00403923 SELECT HEALTH
South Carolina Other AA15178516 SELECT HEALTH

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