Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 2006-00303 | NC |
Y | 207YP0228X | Pediatric Otolaryngology | 305190 | LA |
NPI | 1760414866 |
---|---|
Provider Name | Dr. Adele Karen Evans |
First Address | New Orleans, LA 70112-1349 |
Second Address | New Orleans, LA 70118-5720 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2006 |
Last Update Date | 16/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03485845 | (05) | MS |
2449303 | (05) | LA |
5903942 | (05) | NC |