Doctor Name: | MRS. BARBARA COGGESHALL EVANS |
NPI Number: | 1366616575 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | F300709-1 |
Business Practice Address: | 4452 Vinegar Hill Rd Skaneateles, NY - 131529384 |
Business Phone Number: | 3156851550 |
Business Fax Number: | |
Mailing Address: | 4452 Vinegar Hill Rd, SKANEATELES |
State: | NY |
Postal Code: | 131529384 |
Phone Number: | 3156851550 |
Fax Number: | |
NPI Enumeration Date: | 04/17/2008 |
NPI Last Update Date: | 04/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SA2200X |
License Number: | F300709-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |