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NPI Code Detail

MEDICARE: AMBER EVANS

MEDICARE:   AMBER  EVANS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183700000XPharmacy TechnicianPHA-PIN-LIC-98400MT

General Provider Information

NPI Number : 1114857422
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER EVANS
Provider Business Mailing Address
First Line : 4449 ADDINGTON DR
Second Line :
City : MISSOULA
State : MT
Zip : 59808-9689
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4449 ADDINGTON DR
Second Line :
City : MISSOULA
State : MT
Zip : 59808-9689
Country : US
Telephone Number : 307-413-4027
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2026
Last Update Date : 05/20/2026

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Directions to “ AMBER EVANS ” Practice Location

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