Provider Demographics
NPI:1285848390
Name:EVANS, BARBARA WHITNAH (NP)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:WHITNAH
Last Name:EVANS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:21 BELMONT AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:BRATTLEBORO
Mailing Address - State:VT
Mailing Address - Zip Code:05301-7110
Mailing Address - Country:US
Mailing Address - Phone:802-257-7792
Mailing Address - Fax:
Practice Address - Street 1:21 BELMONT AVENUE
Practice Address - Street 2:SUITE 2
Practice Address - City:BRATTLEBORO
Practice Address - State:VT
Practice Address - Zip Code:05301-7110
Practice Address - Country:US
Practice Address - Phone:802-257-7792
Practice Address - Fax:802-254-7001
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VT101-0019184363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health