Provider Demographics
NPI:1356763197
Name:LAWSON, EVIE TESCH (FNP)
Entity type:Individual
Prefix:
First Name:EVIE
Middle Name:TESCH
Last Name:LAWSON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:EVIE
Other - Middle Name:TESCH
Other - Last Name:PETER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4900 RICHMOND SQ STE 102
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73118-2042
Mailing Address - Country:US
Mailing Address - Phone:405-840-1999
Mailing Address - Fax:
Practice Address - Street 1:2725 S JONES BLVD STE 4
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-5667
Practice Address - Country:US
Practice Address - Phone:702-384-2238
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-14
Last Update Date:2020-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60991476363L00000X
OR201907262NP-PP363L00000X
COAPN.0994927-NP363L00000X
GARN198176363L00000X
SC18692363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVAPRN002547OtherNV LICENSE