Most Relevant Information
Provider Data
| NPI Number: | 1003382029 |
| Provider Name: | KATELYN MARIE EVANSON |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/17/2018 |
| Last Updated: | 10/17/2018 |
Provider Practice Location
4526 HARTZELL LN APT 6
EAU CLAIRE
WI
547037609
Practice Location Phone/Fax
| Phone: | 7156976566 |
| Fax: |
Provider Mailing Location
120 S BARSTOW ST
EAU CLAIRE
WI
547013642
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |