Laura Sue Delgado-Evensen, TN17240903007
Individual provider Active NPI Nurse's Aide · Wartburg, TN
NPI 1972499515 · NPPES record last updated Jun 17, 2025
Key facts
- NPI
- 1972499515
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- License
- TN17240903007 (TN)
- Practice address
- 600 Catoosa Rd
Wartburg, TN 37887-4033 - Phone
- (423) 539-6825
- Fax
- (423) 539-6825
- NPI assigned
- Jun 17, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TN17240903007 | TN | MD | Nurse's Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ionela M Krulewich Dba Eagle Care TN | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | TN17240903007 | TN | Yes |
Addresses
Primary practice location
600 Catoosa Rd
Wartburg, TN 37887-4033
Mailing address
600 Catoosa Rd
Wartburg, TN 37887-4033
Phone (423) 539-6825
Other names
- Laura Sue Evensen
Other providers in Wartburg, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.