MEDICARE: LAURA EVANS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WX0106X	Occupational Health Registered Nurse	100943	IA

General Provider Information

NPI Number	:	1306703517
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA EVANS

Provider Business Mailing Address
First Line	:	2028 RIVER OAKS CT NE
Second Line	:
City	:	NORTH LIBERTY
State	:	IA
Zip	:	52317-9584
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2028 RIVER OAKS CT NE
Second Line	:
City	:	NORTH LIBERTY
State	:	IA
Zip	:	52317-9584
Country	:	US
Telephone Number	:	319-688-3600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2026
Last Update Date	:	01/08/2026

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Directions to “ LAURA EVANS ” Practice Location

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