Individual provider · Type 1 NPI

Tina E. Evenson, CFNP

Family Nurse Practitioner · Sisseton, SD

NPI number 1114151214 Active

Practice location

100 Lake Traverse Dr
Sisseton, SD 57262-7046

Mailing address

439009 Northside Dr
Lake City, SD 57247-6149

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X2009001820 (MN)
Family Nurse Practitioner Primary 363LF0000XR-130178-2 (MN)

Family Nurse Practitioner: Definition to come...

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About NPI 1114151214

Tina E. Evenson, CFNP's National Provider Identifier is 1114151214, issued on May 5, 2009. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Sisseton, SD. The record was last updated on Mar 7, 2022.