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Contact Information

CHANTELLE E EVANS, LPN
1601 DONALD AVE
PONCA CITY, OK74604-1412
 Phone: 580-670-4075
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Practical Nurse

164W00000X
Indicates primary specialty

NPI Profile & details for CHANTELLE E EVANS · (Female)

NPI Number 1134075427
Status Active
Credentials LPN (Licensed Practical Nurse)
Entity Individual
Enumeration date 03/09/2026
Last updated 03/09/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • OK License # L0069368
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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