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Contact Information

ELLEN R EVANS, MD
9662 N 29TH ST
OMAHA, NE68112-1524
 Phone: 402-510-9923
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ELLEN R EVANS · (Female)

NPI Number 1679696611
Status Active
Credentials MD
Entity Individual
Enumeration date 04/06/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Yes
Identifiers
  • NE License # 17202
  • OK License # 14875
  • TX License # G5030
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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