| NPI | 1609303320 |
|---|---|
| Former Name | BRIANNE C EVENSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 377.000736) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 277.000755) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2025-12-15 |