NPI | 1801564141 |
---|---|
Doing Business As | EVOLVE HEALTH |
Entity Type | Organization |
Authorized Contact | AMY DAWN MOORE Billing Director 971-358-9292 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 207L00000X Anesthesiology |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2021-09-01 |
Last Update Date | 2021-09-01 |