Travis Ray Evans, FNP

NPI #1861742702 in Blackfoot, Idaho

Provider Information

NPI Number
1861742702
Entity Type
Individual
Name
Travis Ray Evans, FNP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Family
Credential
FNP
Enumeration Date
Sep 19, 2012
Last Updated
Jun 6, 2022

Practice Location

Address
98 POPLAR ST
State
Idaho
ZIP Code
83221-1758
Phone
(208) 782-3700

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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