Healthcare Provider Details

I. General information

NPI: 1447556543
Provider Name (Legal Business Name): ERIN KATHLEEN EVANS N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/07/2011
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1421 S RANGELINE RD
CARMEL IN
46032-2933
US

IV. Provider business mailing address

732 COLLEGE WAY
CARMEL IN
46032-2042
US

V. Phone/Fax

Practice location:
  • Phone: 866-389-2727
  • Fax:
Mailing address:
  • Phone: 309-830-1204
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71018571A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: