DR. STEPHANIE CLAIRE EVANS PHD APRN CPNP-PC NPI 1760575179

NPI Information

NPI: 1760575179
Provider Name: DR. STEPHANIE CLAIRE EVANS, PHD, APRN, CPNP-PC
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
230 N RUFE SNOW DR
KELLER, TX
ZIP 76248
Phone: (817) 337-5503
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DR. Stephanie Claire Evans, PHD, APRN, CPNP-PC is a pediatrics nurse practitioner in Keller, TX. DR. Stephanie Claire Evans, PHD, APRN, CPNP-PC NPI is 1760575179. 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:

230 N RUFE SNOW DR
KELLER, TX
ZIP 76248-226
Phone: (817) 337-5503

The enumeration date for this NPI number is 9/30/2006 and was last updated on 6/15/2021.

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	208000000X	Pediatrics		NP08195, RN304751	OHIO	No
2	363LP0200X	Nurse Practitioner	Pediatrics	AP125780	TEXAS	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	000000585420	OTHER	OHIO	ANTHEM
2	000000585420	OTHER	OHIO	ANTHEM BCBS OHIO
3	2643661	MEDICAID	OHIO
4	421534506123	OTHER	OHIO	CARESOURCE

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: 5/5/2024

NPI Synchronization or Removal

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