| NPI | 1457064917 |
|---|---|
| Doing Business As | EVOLVE HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | KATE WHITAKER Supervising Provider 307-262-7044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2022-12-29 |
| Last Update Date | 2023-02-06 |