Stacey Evans

NPI 1780745083 - Registered Nurse - 163WC1500X

NPI Details
NPI 1780745083
Gender Female
Enumeration Date 12/12/2006
Last Updated 07/01/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
625 5TH ST
SANTA ROSA CA, 95404-4428, US
Phone (707) 565-4438
Fax
Business Location
625 5TH ST
SANTA ROSA CA, 95404-4428, US
Phone
Fax
Toxanomy
Taxonomy Code 163WC1500X
License State California
License Number 68441
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According to our database, Stacey Evans NPI is 1780745083, taxonomy code is 163WC1500X and license number is 68441, license state is located at California. Stacey Evans physically located at 625 5th St, Santa Rosa CA, 95404-4428. NPI Number Stacey Evans has the Individual type.

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1780745083 NPI number is provided on an as is basis without warranty of any kind. 1780745083 is maintained by the National Plan & Provider Enumeration System. The contents of Stacey Evans are for informational purposes only.