| Provider / Organization | NPI | Date Certified |
|---|---|---|
| EVAN WILLIAMS ANGUS | 1982221594 | 2020-07-04 |
Evan W Angus [M] graduated in 2020 and primarily specializes in Certified Registered Nurse Anesthetist (crna).
Evan Williams Angus is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1982221594. Registration indicates Evan Williams Angus is a provider of services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Anesthetist, Certified Registered (Nurse Anesthetist, Certified Registered, ) (All Other Specialties & Provider Types, ) (Nurse Anesthetist, Certified Registered, Physician Assistants & Advanced Practice Nursing Providers)
| PECOS ID | 4587089545 |
| Entity Type | Individual |
| Provider Name | Evan Williams Angus CRNA |
| Practice Office Address | 1 MEDICAL VILLAGE DR EDGEWOOD, KY US |
| Practice Office Telephone | 8593012000 |
| Practice Office Fax | 8593417867 |
| Mailing Address | 340 THOMAS MORE PKWY STE 220 CRESTVIEW HILLS, KY 410175101 US |
| Business Telephone | 8593012211 |
| Business Fax | 8593012511 |
| Code | Practice | License No State |
|---|---|---|
| 367500000X PRIMARY | Physician Assistants & Advanced Practice Nursing Providers Nurse Anesthetist, Certified Registered Nurse Anesthetist, Certified Registered All Other Specialties & Provider Types Nurse Anesthetist, Certified Registered Physician Assistants & Advanced Practice Nursing Providers | 3014754
KY |