Individual provider · Type 1 NPI

Criston B. Evans, CDCA

Licensed Practical Nurse · Waverly, OH

NPI number 1205342136 Active

Practice location

14532 US Highway 23
Waverly, OH 45690

Mailing address

1529 Swauger Valley Rd
Portsmouth, OH 45662-8898

Other practice locations

  • 14532 US Highway 23, Waverly, OH 45690 · (740) 285-9624
  • 14532 US Highway 23, Waverly, OH 45690 · (740) 285-9624

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XCDCA.169327 (OH)
Licensed Practical Nurse Primary 164W00000X156080 (OH)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

15 other providers at this address

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About NPI 1205342136

Criston B. Evans, CDCA's National Provider Identifier is 1205342136, issued on Dec 14, 2017. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Waverly, OH. The record was last updated on Sep 19, 2019.