Provider Demographics
NPI:1619144508
Name:EVANS, EVE ELIZABETH (RN)
Entity Type:Individual
Prefix:
First Name:EVE
Middle Name:ELIZABETH
Last Name:EVANS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:318 BEDFORD AVE
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14216-3135
Mailing Address - Country:US
Mailing Address - Phone:716-876-0707
Mailing Address - Fax:716-876-0707
Practice Address - Street 1:318 BEDFORD AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14216-3135
Practice Address - Country:US
Practice Address - Phone:716-876-0707
Practice Address - Fax:716-876-0707
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-11
Last Update Date:2008-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY447800-1163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health