Individual provider · Type 1 NPI
Michelle Erin Evans
Pediatric Nurse Practitioner · Fort Wayne, IN
NPI number
1649951617
Active
Practice location
415 E Cook Rd Ste 300
Fort Wayne, IN 46825-3657
Fax (317) 944-5791
Mailing address
PO Box 713577
Chicago, IL 60677-0403
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 71015413A (IN) |
| Pediatric Nurse Practitioner | 363LP0200X | 28151551A (IN) |
Pediatric Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1649951617
Michelle Erin Evans's National Provider Identifier is 1649951617, issued on Jul 31, 2023. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Fort Wayne, IN. The record was last updated on Feb 26, 2026.