Provider Demographics
NPI:1285004366
Name:EVANS, CURTIS (RN, MSN, FNP-C)
Entity Type:Individual
Prefix:
First Name:CURTIS
Middle Name:
Last Name:EVANS
Suffix:
Gender:M
Credentials:RN, MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 W BLUFF ST
Mailing Address - Street 2:
Mailing Address - City:WOODVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75979
Mailing Address - Country:US
Mailing Address - Phone:409-200-2811
Mailing Address - Fax:409-200-2856
Practice Address - Street 1:703 W BLUFF ST
Practice Address - Street 2:
Practice Address - City:WOODVILLE
Practice Address - State:TX
Practice Address - Zip Code:75979
Practice Address - Country:US
Practice Address - Phone:409-200-2811
Practice Address - Fax:409-200-2856
Is Sole Proprietor?:No
Enumeration Date:2015-10-01
Last Update Date:2019-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP129084363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily