Individual provider · Type 1 NPI
Evanna Lonnique Evans
Student in an Organized Health Care Education/Training Program · Greenville, SC
NPI number
1669965018
Active
Practice location
402 S Texas Ave
Greenville, SC 29611-5619
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1669965018
Evanna Lonnique Evans's National Provider Identifier is 1669965018, issued on Jun 11, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Greenville, SC. The record was last updated on Jun 11, 2018.