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Travis Ray Evans, FNP
Family Nurse Practitioner in Blackfoot, Idaho
NPI 1861742702

Travis Ray Evans is a Family Nurse Practitioner based in Blackfoot, ID and is specialized in Family. Travis Ray Evans practices in Blackfoot, ID and has the professional credentials of FNP. The NPI Number for Travis Ray Evans is 1861742702 and holds a License No. NP-1193A (Idaho).

The current practice location address for Travis Ray Evans is 98 Poplar St, Blackfoot, ID and can be reached out via phone at 208-782-3700.

Location: 98 Poplar St, Blackfoot, ID, 83221-1758
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861742702
Provider Name
Travis Ray Evans
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
98 Poplar St, Blackfoot, ID, 83221-1758
Phone Number
208-782-3700
Fax Number
Provider Enumeration Date
09/19/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
98 Poplar St
City
Blackfoot
State
Idaho
Zip
83221-1758
Phone Number
208-782-3700
Fax Number
person
Provider Business Mailing Address Details
Address
98 Poplar St
City
Blackfoot
State
Idaho
Zip
83221-1758
Phone Number
208-782-3700
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
NP-1193A (Idaho)
Definition
Definition to come...
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