Most Relevant Information
Provider Data
| NPI Number: | 1003216839 |
| Provider Name: | EVANS KOMEN DNP,PMHNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | G119281 |
Most Important Dates
| Enumeration Date: | 08/29/2014 |
| Last Updated: | 08/29/2014 |
Provider Practice Location
2750 SAINT FRANCIS DR
WATERLOO
IA
507025644
Practice Location Phone/Fax
| Phone: | 3192728922 |
| Fax: | 3192728929 |
Provider Mailing Location
2750 SAINT FRANCIS DR
WATERLOO
IA
507025644
Provider Mailing Phone/Fax
| Phone: | 3192728922 |
| Fax: | 3192728929 |