Healthcare Provider Details

I. General information

NPI: 1235290347
Provider Name (Legal Business Name): MARGARET SNOWDEN EVANS APRN-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 06/21/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20240 REAMES RD
ZACHARY LA
70791-8001
US

IV. Provider business mailing address

20959 ANDERSON RD
ZACHARY LA
70791-7915
US

V. Phone/Fax

Practice location:
  • Phone: 225-658-1998
  • Fax: 225-658-5487
Mailing address:
  • Phone: 225-658-1998
  • Fax: 225-658-5487

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP05058
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberRN082678
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: