Doctor Name: | DR. ANNEMARIE EVANS |
NPI Number: | 1083737308 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ED. D. |
License Number: | 1945 |
Business Practice Address: | 2510 S Croatan Hwy Suite E Nags Head, NC - 279599016 |
Business Phone Number: | 2527151346 |
Business Fax Number: | |
Mailing Address: | 468 Harbour View Dr, KILL DEVIL HILLS |
State: | NC |
Postal Code: | 279489133 |
Phone Number: | 2527151346 |
Fax Number: | |
NPI Enumeration Date: | 04/10/2007 |
NPI Last Update Date: | 11/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 1945 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |