| Doctor Name: | ABIGAIL EVANS |
| NPI Number: | 1093160301 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 28228632A |
| Business Practice Address: | 10929 Harder Rd Three Rivers, MI - 490938226 |
| Business Phone Number: | 2695064555 |
| Business Fax Number: | |
| Mailing Address: | 10929 Harder Rd, THREE RIVERS |
| State: | MI |
| Postal Code: | 490938226 |
| Phone Number: | 2695064555 |
| Fax Number: | |
| NPI Enumeration Date: | 04/25/2016 |
| NPI Last Update Date: | 04/25/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 28228632A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |