NPI | 1811600471 |
---|---|
Doing Business As | EVOLVE HEALTH |
Entity Type | Organization |
Authorized Contact | AMY DAWN MOORE Regional Contracting Director 971-358-9292 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Enumeration Date | 2022-12-28 |
Last Update Date | 2022-12-28 |