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General NPI Number Information
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NPI Number | 1891650693
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Entity Type | Organization
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Legal Business Name | EVOLVED WOMENS HEALTH LLC
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Dates
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Enumeration Date | 12/23/2025
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 1190 SPRING CREEK PL STE D2
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City | SPRINGVILLE
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State | UT
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Zip | 84663-6004
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Country | US
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Telephone | 801-477-6484
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Fax | 231-216-7963
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Provider Business Mailing Address
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Address Line | 1190 SPRING CREEK PL STE D2
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City | SPRINGVILLE
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State | UT
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Zip | 84663-6004
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Country | US
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Telephone | 801-477-6484
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Fax | 231-216-7963
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Authorized Official
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Title or Position | CO-OWNER
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Name | ANGELEAH ROBERTS
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Credential | PMHNP
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Telephone | 801-477-7082
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number |
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License Number State |
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