NPI 1043238207 · live from the CMS NPI Registry
Elizabeth Ann Evanich, BSN, ANP
Registered Nurse, Gastroenterology in Phoenix, AZ. National Provider Identifier 1043238207, active.
NPI record
| NPI | 1043238207 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Gastroenterology 163WG0100X |
| Practice location | 650 East Indian School Road, Phoenix, AZ 85012 |
| Practice phone | 602-277-5551 |
| Mailing address | 1138 W Vermont Avenue, Phoenix, AZ 85013 |
| Enumerated | July 17, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
| Other names | Elizabeth Evanich |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Gastroenterology primary | 163WG0100X | rn050197 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.