Evans Komen
Nurse Practitioner - Psychiatric/Mental Health
2750 Saint Francis Dr
Waterloo
, Iowa 50702-5644
Evans Komen
Nurse Practitioner - Psychiatric/Mental Health
2750 Saint Francis Dr
Waterloo
, Iowa 50702-5644
(319) 272-8929
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Evans Komen
- 2750 Saint Francis Dr
- Waterloo, IA
- Zip : 50702-5644
- Fax : (319) 272-8929
- Phone : (319) 272-8922
Second Address
- Evans Komen
- 2750 Saint Francis Dr
- Waterloo, IA
- Zip : 50702-5644
- Fax : (319) 272-8929
- Phone : (319) 272-8922
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What type of doctor is Evans Komen
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | G119281 | IA |
National Provider Identifier
| NPI | 1003216839 |
|---|---|
| Provider Name | Evans Komen |
| First Address | Waterloo, IA 50702-5644 |
| Second Address | Waterloo, IA 50702-5644 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/08/2014 |
| Last Update Date | 29/08/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.