Lauren Evanczyk, APRN | |
720 2nd Ave Ste 102, Bowling Green, KY 42101-1778 | |
(502) 588-3650 | |
(502) 588-7852 |
Full Name | Lauren Evanczyk |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 720 2nd Ave Ste 102, Bowling Green, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093181422 | NPI | - | NPPES |
201336210 | Medicaid | IN | |
3009656 | Other | KY | STATE LICENSE |
7100391180 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 71006895A (Indiana) | Secondary |
363LF0000X | Nurse Practitioner - Family | 3009656 (Kentucky) | Primary |
Entity Name | Norton Childrens Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457999096 PECOS PAC ID: 3779917596 Enrollment ID: O20200102000758 |
Mailing Address | Practice Location Address |
---|---|
Lauren Evanczyk, APRN Po Box 776879, Chicago, IL 60677-6879 Ph: (502) 588-9490 | Lauren Evanczyk, APRN 720 2nd Ave Ste 102, Bowling Green, KY 42101-1778 Ph: (502) 588-3650 |
Marcia Atherton, APRN FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1048 Ashley St Ste 103a, Bowling Green, KY 42103 Phone: 270-599-0958 | |
Mrs. Kamala Mechelle Brooks, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1777 Ashley Cir, Bowling Green, KY 42104 Phone: 270-781-4090 | |
Paula Devore, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 165 Natchez Trace Ave Ste 205, Bowling Green, KY 42103 Phone: 270-745-7246 Fax: 270-282-2027 | |
Mrs. Demara Andrea Goodrich, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1225 Fairway St, Bowling Green, KY 42103 Phone: 270-781-3910 | |
Mrs. Shellie D Hardcastle, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 250 Park St, Bowling Green, KY 42101 Phone: 270-745-1808 Fax: 270-796-5516 | |
Louise Elizabeth Webb, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 Park St, Bowling Green, KY 42101 Phone: 270-781-5111 | |
Dawn Garrett -wright, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 350 Park Street Ste 204, Psychiatric Associates, Bowling Green, KY 42101 Phone: 270-843-5103 |