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Ida Katrina Evans, RN
Neonatal Nurse Practitioner in Provo, Utah
NPI 1841949401

Ida Katrina Evans is a Neonatal Nurse Practitioner based in Salt Lake City, UT and is specialized in Neonatal. Ida Katrina Evans practices in Provo, UT and has the professional credentials of RN. The NPI Number for Ida Katrina Evans is 1841949401 and holds a License No. 324214-3201 (Utah).

The current practice location address for Ida Katrina Evans is 1034 N 500 W, Provo, UT and can be reached out via phone at 801-357-7414. You can also correspond with Ida Katrina Evans through the mailing address at PO BOX 27128, SALT LAKE CITY, UT - 84127-0128 (mailing address contact number: ).

Location: 1034 N 500 W, Provo, UT, 84127-0128
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Provider Profile Details
NPI Number
1841949401
Provider Name
Ida Katrina Evans
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
1034 N 500 W, Provo, UT, 84127-0128
Phone Number
801-357-7414
Fax Number
Provider Enumeration Date
03/21/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1034 N 500 W
City
State
Zip
84604-3380
Phone Number
801-357-7414
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 27128
City
State
Zip
84127-0128
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Neonatal Intensive Care
Taxonomy
License No.
324214-4405 (Utah)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal
Taxonomy
License No.
324214-3201 (Utah)
Definition
Definition to come...
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