Provider Demographics
NPI:1952528036
Name:EVANS, ERIN HARKNESS (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:HARKNESS
Last Name:EVANS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:16910 MARCY ST STE 200
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68118-2704
Mailing Address - Country:US
Mailing Address - Phone:402-697-7200
Mailing Address - Fax:402-697-7282
Practice Address - Street 1:16910 MARCY ST STE 200
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68118-2704
Practice Address - Country:US
Practice Address - Phone:402-697-7200
Practice Address - Fax:402-697-7282
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE24279207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE281717Medicare PIN