Healthcare Provider Details

I. General information

NPI: 1669758678
Provider Name (Legal Business Name): EVA CATHERINE CHEVREUX NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EVA CATHERINE DAVIS RN

II. Dates (important events)

Enumeration Date: 10/24/2011
Last Update Date: 10/24/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 RAINBOW BOULEVARD DEPARTMENT OF PEDIATRICS- MAILSTOP 4004
KANSAS CITY KS
66160-2937
US

IV. Provider business mailing address

3901 RAINBOW BOULEVARD DEPARTMENT OF PEDIATRICS- MAILSTOP 4004
KANSAS CITY KS
66160-2937
US

V. Phone/Fax

Practice location:
  • Phone: 913-588-6301
  • Fax:
Mailing address:
  • Phone: 913-588-6301
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number91485
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN136281
License Number StateAZ
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number75457
License Number StateKS
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP4153
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: