Logan Evans, RN

Individual provider Active NPI Registered Nurse · Armstrong, IA

NPI 1619316627 · NPPES record last updated Jun 24, 2013

Key facts

NPI
1619316627
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
203618-2 (MN)
Practice address
5210 190TH St
Armstrong, IA 50514-7546
Phone
(712) 866-2434
NPI assigned
Jun 24, 2013
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
203618-2MNMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 203618-2 MN Yes

Addresses

Primary practice location

5210 190TH St
Armstrong, IA 50514-7546

Mailing address

5210 190TH St
Armstrong, IA 50514-7546

Other providers in Armstrong, IA

All providers in Armstrong, IA · Registered Nurse in Iowa

Sources for this page

Verify at the official NPI Registry.