Provider Demographics
NPI:1821387788
Name:EVANS, ALYSHIA LOUISE (RN, CRNP)
Entity Type:Individual
Prefix:MS
First Name:ALYSHIA
Middle Name:LOUISE
Last Name:EVANS
Suffix:
Gender:F
Credentials:RN, CRNP
Other - Prefix:MS
Other - First Name:ALYSHIA
Other - Middle Name:LOUISE
Other - Last Name:BURDA, SWEARER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2041 KNOB RD
Mailing Address - Street 2:
Mailing Address - City:PORTAGE
Mailing Address - State:PA
Mailing Address - Zip Code:15946-4612
Mailing Address - Country:US
Mailing Address - Phone:814-418-3984
Mailing Address - Fax:
Practice Address - Street 1:2907 PLEASANT VALLEY BLVD
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16602-4305
Practice Address - Country:US
Practice Address - Phone:814-943-8164
Practice Address - Fax:814-940-7817
Is Sole Proprietor?:No
Enumeration Date:2011-03-31
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN524121L163W00000X
PASP026966363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse