Evans, Gloria Ann

Evans, Gloria Ann is an individual health care provider with primary practice located at 631 Main Street , Bethel AK 99559. 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, Gloria Ann can be contacted via phone (907) 543-3773.

Contact Information

Primary practice address
631 Main Street Bethel AK 99559
Phone: (907) 543-3773
Fax: (907) 543-3545
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 514 Alaska

Profile Details

NPI number 1306898200
LBN Legal business name Evans, Gloria Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jul 8th, 2007 - about 19 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 1306898200 NPPES
Alaska MEDICAID NP93011

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