Provider Demographics
NPI:1518166156
Name:EVENS, TERRIE LYNN (REGISTERED NURSE)
Entity Type:Individual
Prefix:MRS
First Name:TERRIE
Middle Name:LYNN
Last Name:EVENS
Suffix:
Gender:F
Credentials:REGISTERED NURSE
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Mailing Address - Street 1:566 CENTO COURT
Mailing Address - Street 2:MRS TERRIE LYNN EVENS RN
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94566-6329
Mailing Address - Country:US
Mailing Address - Phone:925-426-0422
Mailing Address - Fax:
Practice Address - Street 1:2324 SANTA RITA ROAD
Practice Address - Street 2:BEHAVIORAL HEALTH QUEST #10
Practice Address - City:PLEASTON
Practice Address - State:CA
Practice Address - Zip Code:94566-6329
Practice Address - Country:US
Practice Address - Phone:925-462-6441
Practice Address - Fax:925-426-6851
Is Sole Proprietor?:No
Enumeration Date:2007-07-13
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA543681163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse