Evetts, Lynne M

Evetts, Lynne M is an individual health care provider with primary practice located at 300 Colorado Ave , Pueblo CO 81004-2006. 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. Evetts, Lynne M can be contacted via phone (719) 543-8711.

Contact Information

Primary practice address
300 Colorado Ave Pueblo CO 81004-2006
Phone: (719) 543-8711
Fax: (719) 543-5340
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 100124 Colorado

Profile Details

NPI number 1023054541
LBN Legal business name Evetts, Lynne M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Feb 4th, 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 1023054541 NPPES
Colorado MEDICAID 36889270

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