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Teresa Claire Evan
Family Nurse Practitioner in Portales, New Mexico
NPI 1124422597

Teresa Claire Evan is a Family Nurse Practitioner based in Portales, NM and is specialized in Family. Teresa Claire Evan practices in Portales, NM. The NPI Number for Teresa Claire Evan is 1124422597 and holds a License No. AP126422 (New Mexico).

The current practice location address for Teresa Claire Evan is 1515 W Fir St, Portales, NM and can be reached out via phone at 575-356-6695 and via fax at 575-356-5948.

Location: 1515 W Fir St, Portales, NM, 88130-5703
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124422597
Provider Name
Teresa Claire Evan
Credential
Provider Entity Type
Individual
Gender
Female
Address
1515 W Fir St, Portales, NM, 88130-5703
Phone Number
575-356-6695
Fax Number
575-356-5948
Provider Enumeration Date
10/14/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1515 W Fir St
City
Portales
State
New Mexico
Zip
88130-5703
Phone Number
575-356-6695
Fax Number
575-356-5948
person
Provider Business Mailing Address Details
Address
1515 W Fir St
City
Portales
State
New Mexico
Zip
88130-5703
Phone Number
575-356-6695
Fax Number
575-356-5948
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP126422 (Texas)
Definition
Definition to come...
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