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Contact Information

STEPHANIE C EVANS, CPNP/PH.D.
225 E. BEAUREGARD
SAN ANGELO, TX76904
 Phone: 325-747-2287
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for STEPHANIE C EVANS · (Female)

NPI Number 1760575179
Status Active
Credentials CPNP/PH.D.
Entity Individual
Enumeration date 09/30/2006
Last updated 01/23/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • OH License # NP08195, RN304751
  • TX License # AP125780
  • OH Medicaid 2643661
  • TX Medicaid 6V6415
  • OH Other 000000585420 ANTHEM
  • OH Other 000000585420 ANTHEM BCBS OHIO
  • OH Other 421534506123 CARESOURCE
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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