| Provider / Organization | NPI | Date Certified |
|---|---|---|
| PAUL EVANS | 1891427209 | 2022-06-26 |
Paul Evans is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1891427209. Registration indicates Paul Evans is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | Paul Evans |
| Practice Office Address | 3200 GRAND AVE DES MOINES, IA US |
| Practice Office Telephone | 9529237093 |
| Mailing Address | 13491 ZARTHAN AVE S SAVAGE, MN 553782495 US |
| Business Telephone | 9529237093 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |