Lynne M Evetts NP

NPI 1023054541 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1023054541
Gender Female
Enumeration Date 06/22/2006
Last Updated 02/04/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
300 COLORADO AVE
PUEBLO CO, 81004-2006, US
Phone (719) 543-8711
Fax (719) 543-5340
Business Location
110 E ROUTT AVE
PUEBLO CO, 81004-2117, US
Phone (719) 543-8711
Fax (719) 543-5340
Toxanomy
Taxonomy Code 363L00000X
License State Colorado
License Number 100124
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According to our database, Lynne M Evetts NP NPI is 1023054541, taxonomy code is 363L00000X and license number is 100124, license state is located at Colorado. Lynne M Evetts NP physically located at 300 Colorado Ave, Pueblo CO, 81004-2006. NPI Number Lynne M Evetts NP has the Individual type.

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1023054541 NPI number is provided on an as is basis without warranty of any kind. 1023054541 is maintained by the National Plan & Provider Enumeration System. The contents of Lynne M Evetts NP are for informational purposes only.