Doctor Name: | MS. CHASITY R EVANS |
NPI Number: | 1013286699 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CPNP-PC |
License Number: | 71003791A |
Business Practice Address: | 333 S Madison St Muncie, IN - 473052465 |
Business Phone Number: | 7652867000 |
Business Fax Number: | 7652132769 |
Mailing Address: | 333 S Madison St, MUNCIE |
State: | IN |
Postal Code: | 473052465 |
Phone Number: | 7652867000 |
Fax Number: | 7652132769 |
NPI Enumeration Date: | 12/28/2011 |
NPI Last Update Date: | 06/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 71003791A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |