Evans, Elizabeth Marie C

Evans, Elizabeth Marie C is an individual health care provider with primary practice located at 3821 Masthead St Ne , Albuquerque NM 87109-4679. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Evans, Elizabeth Marie C can be contacted via phone (505) 998-7400.

Contact Information

Primary practice address
3821 Masthead St Ne Albuquerque NM 87109-4679
Phone: (505) 998-7400
Fax: (505) 998-7741
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X R30250 New Mexico

Profile Details

NPI number 1750341426
LBN Legal business name Evans, Elizabeth Marie C
Credentials ADULT NP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2006
Last updated Mar 19th, 2013 - about 13 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 1750341426 NPPES
New Mexico MEDICAID 43587038

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