Evanston Clinic Corp is a Family Nurse Practitioner based in Brentwood, WY and is specialized in Family. Evanston Clinic Corp practices in Evanston, WY. The NPI Number for Evanston Clinic Corp is 1013916519 and holds a License No. (Wyoming).
The current practice location address for Evanston Clinic Corp is 196 Arrowhead Dr Ste 8, Evanston, WY and can be reached out via phone at 307-783-8365 and via fax at 307-783-8284. You can also correspond with Evanston Clinic Corp through the mailing address at PO BOX 5009, BRENTWOOD, TN - 37024-5009 (mailing address contact number: 615-221-1400).
Location: 196 Arrowhead Dr Ste 8, Evanston, WY, 37024-5009
Provider Profile Details
NPI Number
1013916519
Provider Name
Evanston Clinic Corp
Credential
Provider Entity Type
Organization
Address
196 Arrowhead Dr Ste 8, Evanston, WY, 37024-5009
Phone Number
307-783-8365
Fax Number
307-783-8284
Provider Enumeration Date
07/18/2005
Last Update Date
03/12/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06159001 | 01 | WY | BCBS |
| 1013916519 | 05 | WY |
Provider Business Practice Location Address Details
Address
196 Arrowhead Dr Ste 8
City
State
Zip
82930-8752
Phone Number
307-783-8365
Fax Number
307-783-8284
Provider Business Mailing Address Details
Address
Po Box 5009
City
State
Zip
37024-5009
Phone Number
615-221-1400
Fax Number
615-465-2984
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
License No.
()
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
License No.
()
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
-
Taxonomy
License No.
()
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Provider's Taxonomy Details 5
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
License No.
(Wyoming)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Provider's Taxonomy Details 6
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
(Wyoming)
Definition
Definition to come...
Provider's Taxonomy Details 7
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
License No.
(Wyoming)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Provider's Taxonomy Details 8
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
(Wyoming)
Definition
Definition to come...
Provider's Taxonomy Details 9
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
(Wyoming)
Definition
Definition to come...
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