Individual provider · Type 1 NPI

Travis Ray Evans, FNP

Family Nurse Practitioner · Blackfoot, ID

NPI number 1861742702 Active

Practice location

98 Poplar St
Blackfoot, ID 83221-1758

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNP-1193A (ID)

Family Nurse Practitioner: Definition to come...

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About NPI 1861742702

Travis Ray Evans, FNP's National Provider Identifier is 1861742702, issued on Sep 19, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Blackfoot, ID. The record was last updated on Jun 6, 2022.