MEDICARE: KRISTEN E EVANS ANP

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	363LA2200X	Adult Health Nurse Practitioner	2014037911	MO

General Provider Information

NPI Number	:	1972972073
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTEN E EVANS ANP

Provider Business Mailing Address
First Line	:	102 WOODMONT BLVD STE 600
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37205-5250
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9150 OVERLAND PLZ
Second Line	:
City	:	OVERLAND
State	:	MO
Zip	:	63114-6123
Country	:	US
Telephone Number	:	314-449-9633
Fax Number	:

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

Provider Enumeration Date	:	09/18/2015
Last Update Date	:	02/20/2024

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Directions to “ KRISTEN E EVANS ANP” Practice Location

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