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NPI Code Detail

MEDICARE: DONNA M EVANS

MEDICARE: DONNA M 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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1902310105
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONNA M EVANS
Provider Business Mailing Address
First Line : 71231 CEDAR DR
Second Line :
City : COVINGTON
State : LA
Zip : 70433-6902
Country : US
Telephone Number : 504-577-6573
Fax Number :
Provider Business Practice Location Address
First Line : 350 GATEWAY DR
Second Line :
City : SLIDELL
State : LA
Zip : 70461-5589
Country : US
Telephone Number : 504-577-6573
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2017
Last Update Date : 06/08/2023

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Directions to “ DONNA M EVANS ” Practice Location

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