Audrey Evanson, LMT is a
Massage Therapist based in Lisbon, North Dakota. Audrey Evanson is licensed to practice in North Dakota (license number 1729) and her current practice location is
416 Main St, Lisbon, North Dakota. She can be reached at her office (for appointments etc.) via phone at
(701) 680-9167.
NPI number for Audrey Evanson is 1083149140 and her current mailing address is 14061 62 1/2 St Se, Lisbon, North Dakota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083149140.
Healthcare Provider's Profile
| Full Name | Audrey Evanson |
|---|
| Gender | Female |
|---|
| Speciality | Massage Therapist |
|---|
| Location | 416 Main St, Lisbon, North Dakota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1083149140
- Provider Enumeration Date: 04/26/2017
- Last Update Date: 04/26/2017
Medical Identifiers
Medical identifiers for Audrey Evanson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083149140 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | 1729 (North Dakota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Audrey Evanson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Audrey Evanson, LMT
14061 62 1/2 St Se,
Lisbon, ND 58054-9421
Ph: (701) 680-9167 | Audrey Evanson, LMT
416 Main St,
Lisbon, ND 58054-4142
Ph: (701) 680-9167 |
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