Healthcare Provider Details

I. General information

NPI: 1881238517
Provider Name (Legal Business Name): CYNTHIA C EVANS FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2019
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1525 W CARO RD
CARO MI
48723-9686
US

IV. Provider business mailing address

611 W BELLE AVE
SAINT CHARLES MI
48655-1611
US

V. Phone/Fax

Practice location:
  • Phone: 989-860-0088
  • Fax: 989-791-3859
Mailing address:
  • Phone: 989-865-9958
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704229785
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: