SearchIdaho2255A2300X

Laurel Evans, ATC

NPI 1457696783 · on the registry since 2012

Practice

Address
850 W. St. Luke'S Dr.
Suite 215
Nampa, ID 83687
Phone
(208) 706-9025
Fax
(208) 489-4300

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-09-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho