Provider Demographics
NPI:1528400272
Name:EVANS, CHRISTOPHER (MSN)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:EVANS
Suffix:
Gender:M
Credentials:MSN
Other - Prefix:
Other - First Name:CHRIS
Other - Middle Name:
Other - Last Name:EVANS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSN
Mailing Address - Street 1:130 MASON FARM RD STE 2100
Mailing Address - Street 2:CB# 7215
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7215
Mailing Address - Country:US
Mailing Address - Phone:919-843-8759
Mailing Address - Fax:
Practice Address - Street 1:130 MASON FARM RD STE 2100
Practice Address - Street 2:STE 2100 CB# 7215
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7215
Practice Address - Country:US
Practice Address - Phone:919-843-8759
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-23
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC227550363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health