Individual provider · Type 1 NPI
Wylie Evanson
Student in an Organized Health Care Education/Training Program · Sparks, NV
NPI number
1831577592
Active
Practice location
1001 Pyramid Way Ste 202
Sparks, NV 89431-4470
Mailing address
PO Box 21044
Reno, NV 89515-1044
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| 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 1831577592
Wylie Evanson's National Provider Identifier is 1831577592, issued on May 14, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Sparks, NV. The record was last updated on May 14, 2015.