DAWN LESLIE EVERT NP NPI 1952397952

NPI Information

NPI: 1952397952
Provider Name: DAWN LESLIE EVERT, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: AFFORDABLE HEALTH CLINIC, LLC

PECOS Registration: Yes

Address:
900 INDIANA AVE STE D
PUEBLO, CO
ZIP 81004
Phone: (719) 924-9021
Get Directions

Dawn Leslie Evert, NP is a family nurse practitioner in Pueblo, CO with 19 years of experience. Dawn Leslie Evert, NP NPI is 1952397952. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

900 INDIANA AVE STE D
PUEBLO, CO
ZIP 81004-767
Phone: (719) 924-9021
Fax: (719) 924-9166

The NPI 1952397952 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 9/25/2005 and was last updated on 8/5/2020.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		81123	COLORADO	No
2	363LF0000X	Nurse Practitioner	Family	4650	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	87339056	MEDICAID	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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