Provider Demographics
NPI:1528541596
Name:EVANS, SPARROW HALL
Entity Type:Individual
Prefix:MRS
First Name:SPARROW
Middle Name:HALL
Last Name:EVANS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:618 S WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80521-3642
Mailing Address - Country:US
Mailing Address - Phone:865-617-0216
Mailing Address - Fax:
Practice Address - Street 1:618 S WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80521-3642
Practice Address - Country:US
Practice Address - Phone:865-617-0216
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-14
Last Update Date:2018-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula