Provider Demographics
NPI:1316486533
Name:EVANS, BEATRICE
Entity type:Individual
Prefix:
First Name:BEATRICE
Middle Name:
Last Name:EVANS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 B ST SE
Mailing Address - Street 2:APT 113
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-7300
Mailing Address - Country:US
Mailing Address - Phone:202-705-1054
Mailing Address - Fax:
Practice Address - Street 1:3600 B ST SE
Practice Address - Street 2:APT 113
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-7300
Practice Address - Country:US
Practice Address - Phone:202-705-1054
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-21
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide