MEDICARE: MS. ELIZABETH LYNN 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
1	363L00000X	Nurse Practitioner	NP15730	CA
2	363L00000X	Nurse Practitioner	APRN1054	HI
3	363LA2200X	Adult Health Nurse Practitioner	005169	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851368393
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ELIZABETH LYNN EVANS NP

Provider Business Mailing Address
First Line	:	6 RESEARCH DR STE 105
Second Line	:
City	:	SHELTON
State	:	CT
Zip	:	06484-6228
Country	:	US
Telephone Number	:	203-210-6340
Fax Number	:	203-502-2615

Provider Business Practice Location Address
First Line	:	79 WAWECUS ST STE 104
Second Line	:
City	:	NORWICH
State	:	CT
Zip	:	06360-2173
Country	:	US
Telephone Number	:	860-237-5458
Fax Number	:

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

Provider Enumeration Date	:	03/03/2006
Last Update Date	:	05/21/2026

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