Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TARA MARIE EVANS
Active Sole ProprietorTARA MARIE EVANS is a Occupational Health Nurse Practitioner healthcare provider located in PEORIA, Illinois. NPI 1518645613 is currently active in the NPPES registry. Verify at CMS.
Occupational Health Nurse Practitioner · PEORIA, IL
Registration Details
- NPI Number
- 1518645613
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 10, 2023 (2.9133665912706 yrs)
- Last Updated
- Jul 10, 2023
- Licenses
-
209.027825 (IL)041416169 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
736 SW WASHINGTON ST STE 2APEORIA, IL, 616021643Browse IL providers · Browse ZIP 61602
- Phone
- 3094970300
- Primary Specialty
-
Occupational Health Nurse Practitioner
363LX0106X
- Additional Specialty
- Orthopedic Nurse
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.