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NPI Code Detail

MEDICARE: KATHERINE ABRAHAM EVANS NP

MEDICARE:   KATHERINE ABRAHAM EVANS  NP
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
1363LF0000XFamily Nurse Practitioner157007GA

Other Identifiers

General Provider Information

NPI Number : 1467457556
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE ABRAHAM EVANS NP
Provider Business Mailing Address
First Line : 1713 COUNCIL BLUFF DR NE
Second Line :
City : ATLANTA
State : GA
Zip : 30345-4139
Country : US
Telephone Number : 404-327-7688
Fax Number :
Provider Business Practice Location Address
First Line : 1713 COUNCIL BLUFF DR NE
Second Line :
City : ATLANTA
State : GA
Zip : 30345-4139
Country : US
Telephone Number : 404-327-7688
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 03/27/2014

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Directions to “ KATHERINE ABRAHAM EVANS NP” Practice Location

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