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Contact Information

AMBER EVENSON, PA-C
410 W 16TH AVE
TYNDALL, SD57066-2318
 Phone: 605-589-2190
 Fax: 605-589-4603
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for AMBER EVENSON · (Female)

NPI # 1285003772
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 09/15/2015
Last updated 05/21/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • SD License # 1011
  • SD Medicaid 2010785
Hospital affiliation(s)
  • AVERA QUEEN OF PEACE - (Acute Care)
    525 N FOSTER
    MITCHELL, SD 57301
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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