ABBY MARIE EVANS CNP NPI 1881226512

NPI Information

NPI: 1881226512
Provider Name: ABBY MARIE EVANS, CNP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Organization: LIFESPRK MEDICAL GROUP PA

PECOS Registration: Yes

Address:
5320 W 23RD ST STE 130
ST LOUIS PARK, MN
ZIP 55416
Phone: (952) 345-3310
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Abby Marie Evans, CNP is a gerontology nurse practitioner in St Louis Park, MN with 3 years of experience. Abby Marie Evans, CNP NPI is 1881226512. 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:

5320 W 23RD ST STE 130
ST LOUIS PARK, MN
ZIP 55416-670
Phone: (952) 345-3310
Fax: (952) 345-8771

The NPI 1881226512 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 2/11/2020 and was last updated on 7/13/2021.

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	363LG0600X	Nurse Practitioner	Gerontology	7227	MINNESOTA	Yes

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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