EVANS KOMEN DNPPMHNP-BC NPI 1003216839

NPI Information

Evans Komen, DNP,PMHNP-BC is a psychiatric/mental health nurse practitioner in Waterloo, IA with 10 years of experience. Evans Komen, DNP,PMHNP-BC NPI is 1003216839. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduation Year:2014

The provider's business location address is:

2750 SAINT FRANCIS DR
WATERLOO, IA
ZIP 50702-644
Phone: (319) 272-8922
Fax: (319) 272-8929

The NPI 1003216839 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/29/2014 and was last updated on 8/29/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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