Provider Demographics
NPI:1669756847
Name:EVANS, NANCY LOUISE (ND)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:LOUISE
Last Name:EVANS
Suffix:
Gender:F
Credentials:ND
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Mailing Address - Street 1:1065 E HILLSDALE BLVD
Mailing Address - Street 2:HOLTORF MEDICAL GROUP #108
Mailing Address - City:FOSTER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94404-1613
Mailing Address - Country:US
Mailing Address - Phone:650-638-1141
Mailing Address - Fax:650-638-1144
Practice Address - Street 1:23456 HAWTHORNE BLVD
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-4716
Practice Address - Country:US
Practice Address - Phone:310-375-2705
Practice Address - Fax:310-375-2701
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-05
Last Update Date:2014-09-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAND453175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath