Susan Anne Edna Evans
Podiatrist
1411 N Taylor Dr
Sheboygan
, Wisconsin 53081-3043
Susan Anne Edna Evans
Podiatrist
1411 N Taylor Dr
Sheboygan
, Wisconsin 53081-3043
(920) 496-4700
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About
Features
Specialties
- Podiatrist
Languages spoken
- English
Location
First Address
- Susan Anne Edna Evans
- 1411 N Taylor Dr
- Sheboygan, WI
- Zip : 53081-3043
- Phone : (920) 496-4700
Second Address
- Susan Anne Edna Evans
- 1411 N Taylor Dr
- Sheboygan, WI
- Zip : 53081-3043
- Phone : (920) 496-4700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 1034-25 | WI |
| Y | 222Z00000X | Podiatrist | 1034-25 | WI |
National Provider Identifier
| NPI | 1003131061 |
|---|---|
| Provider Name | Susan Anne Edna Evans |
| First Address | Sheboygan, WI 53081-3043 |
| Second Address | Sheboygan, WI 53081-3043 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/04/2010 |
| Last Update Date | 04/09/2013 |
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.