Mrs Amanda Michele Evans, RN | |
6965 Cumberland Gap Pkwy, Harrogate, TN 37752-8231 | |
(423) 869-3611 | |
Not Available |
Full Name | Mrs Amanda Michele Evans |
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Gender | Female |
Speciality | Registered Nurse |
Location | 6965 Cumberland Gap Pkwy, Harrogate, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215684881 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 1770525 (Tennessee) | Primary |
Entity Name | Mmc Anesthesia Group, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639148117 PECOS PAC ID: 6901795830 Enrollment ID: O20040310001466 |
Mailing Address | Practice Location Address |
---|---|
Mrs Amanda Michele Evans, RN 2005 Marshy Swamp Pt, Knoxville, TN 37932-1632 Ph: (865) 387-1087 | Mrs Amanda Michele Evans, RN 6965 Cumberland Gap Pkwy, Harrogate, TN 37752-8231 Ph: (423) 869-3611 |
Madison Milam, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6965 Cumberland Gap Pkwy, Harrogate, TN 37752 Phone: 423-869-3611 | |
Jalen K Luter, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6965 Cumberland Gap Pkwy, Harrogate, TN 37752 Phone: 276-275-1801 | |
Kristie Lea Mullins, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 330 Mars-debusk Pkwy, Harrogate, TN 37752 Phone: 423-869-3611 | |
Tatum Trent, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6965 Cumberland Gap Pkwy, Harrogate, TN 37752 Phone: 423-869-3611 | |
Aduragbemi Babajide Okiji, RN Registered Nurse Medicare: Medicare Enrolled Practice Location: 6965 Cumberland Gap Pkwy, Harrogate, TN 37752 Phone: 423-869-3611 | |
Mason Pham, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6965 Cumberland Gap Pkwy, Harrogate, TN 37752 Phone: 423-869-3611 | |
Ashley K Mullins, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6965 Cumberland Gap Parkway, Harrogate, TN 37752 Phone: 423-869-3611 |