Healthcare Provider Details

I. General information

NPI: 1609710433
Provider Name (Legal Business Name): KAREN ELIZABETH EVANS MA RN LSN NCSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 COLBORNE ST
SAINT PAUL MN
55102-3228
US

IV. Provider business mailing address

360 COLBORNE ST
SAINT PAUL MN
55102-3228
US

V. Phone/Fax

Practice location:
  • Phone: 651-744-5998
  • Fax:
Mailing address:
  • Phone: 651-744-5998
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number1442625
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: