TRAVIS RAY EVANS

BLACKFOOT, ID
NPI1861742702
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  NP-1193A)
Enumeration Date2012-09-19
Last Update Date2022-06-06
Business Address
TRAVIS RAY EVANS FNP
98 POPLAR ST
BLACKFOOT, ID 83221-1758
Phone number: 208-782-3700
Mailing Address
TRAVIS RAY EVANS FNP
98 POPLAR ST
BLACKFOOT, ID 83221-1758
Phone number: 208-782-3700
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