person
Evan Lister
Student in an Organized Health Care Education/Training Program in Minneapolis, Minnesota
NPI 1669000147

Evan Lister is a Student in an Organized Health Care Education/Training Program based in Saint Paul, MN. Evan Lister practices in Minneapolis, MN. The NPI Number for Evan Lister is 1669000147 and holds a License No. (Minnesota).

The current practice location address for Evan Lister is 701 Park Avenue, Minneapolis, MN and can be reached out via phone at 612-873-6963.

Location: 701 Park Avenue, Minneapolis, MN, 55102-2236
person
Provider Profile Details
NPI Number
1669000147
Provider Name
Evan Lister
Credential
Provider Entity Type
Individual
Gender
Male
Address
701 Park Avenue, Minneapolis, MN, 55102-2236
Phone Number
612-873-6963
Fax Number
Provider Enumeration Date
03/30/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
701 Park Avenue
City
State
Zip
55415-1829
Phone Number
612-873-6963
Fax Number
person
Provider Business Mailing Address Details
Address
701 Park Avenue
City
State
Zip
55415-1829
Phone Number
612-873-6963
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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