Provider Demographics
NPI:1013172451
Name:EVANS, TERESA MARIE (ND, ARNP-CNM)
Entity type:Individual
Prefix:DR
First Name:TERESA
Middle Name:MARIE
Last Name:EVANS
Suffix:
Gender:F
Credentials:ND, ARNP-CNM
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:984 QUARTZ DR SW
Mailing Address - Street 2:
Mailing Address - City:NORTH BEND
Mailing Address - State:WA
Mailing Address - Zip Code:98045-9133
Mailing Address - Country:US
Mailing Address - Phone:206-372-6191
Mailing Address - Fax:206-374-2591
Practice Address - Street 1:984 QUARTZ DR SW
Practice Address - Street 2:
Practice Address - City:NORTH BEND
Practice Address - State:WA
Practice Address - Zip Code:98045-9133
Practice Address - Country:US
Practice Address - Phone:206-372-6191
Practice Address - Fax:206-374-2591
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-24
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT 60020664175F00000X
WAMW60071418367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No175F00000XOther Service ProvidersNaturopath