Provider Demographics
NPI:1972262475
Name:EVANS, HANNA LYNN HASLEM (CLD)
Entity type:Individual
Prefix:
First Name:HANNA
Middle Name:LYNN HASLEM
Last Name:EVANS
Suffix:
Gender:F
Credentials:CLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2906 COUNTRY PLACE CIR
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75006-4708
Mailing Address - Country:US
Mailing Address - Phone:435-790-9310
Mailing Address - Fax:
Practice Address - Street 1:2906 COUNTRY PLACE CIR
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75006-4708
Practice Address - Country:US
Practice Address - Phone:435-790-9310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-12
Last Update Date:2021-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula