Individual provider · Type 1 NPI
Carmen Rasean Evans, NURSE PRACTITIONER
Psychiatric/Mental Health Nurse Practitioner · Southgate, MI
NPI number
1053097733
Active
Practice location
1 Heritage Dr Ste 230
Southgate, MI 48195-3048
Mailing address
41262 Southwind Dr
Canton, MI 48188-3122
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704210253 (MI) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 4704210253 (MI) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1053097733
Carmen Rasean Evans, NURSE PRACTITIONER's National Provider Identifier is 1053097733, issued on Jun 26, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Southgate, MI. The record was last updated on Sep 16, 2026.