HomeNPI Verification

NPI Verification

National Provider Identifier: 1013916519

Evanston Clinic CORP

Organization

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (9)

Nurse Practitioner, Family

Code: 363LF0000X

Internal Medicine

Code: 207R00000X

Obstetrics & Gynecology

Code: 207V00000X

Surgery

Code: 208600000X

Urology

Code: 208800000X

General Practice

Code: 208D00000X

Physician Assistant

Code: 363A00000X

Physician Assistant, Medical

Code: 363AM0700X

Family Medicine

Code: 207Q00000X

Primary

Practice Address

196 ARROWHEAD DR STE 8

EVANSTON, WY 829308752

Phone: 307-783-8365

NPI Enumeration Date

July 18, 2005

NPI Number

1013916519

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry