Basic Information
| Provider Information | |||||||||
| NPI: | 1659536530 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | EVERT | ||||||||
| FirstName: | LUANN | ||||||||
| MiddleName: | |||||||||
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| Credential: | RN, ARNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 430 N MONTE VISTA ST | ||||||||
| Address2: | VALLEY VIEW REGIONAL HOSPITAL | ||||||||
| City: | ADA | ||||||||
| State: | OK | ||||||||
| PostalCode: | 748204610 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5804211191 | ||||||||
| FaxNumber: | 5804216167 | ||||||||
| Practice Location | |||||||||
| Address1: | 430 N MONTE VISTA ST | ||||||||
| Address2: | VALLEY VIEW REGIONAL HOSPITAL | ||||||||
| City: | ADA | ||||||||
| State: | OK | ||||||||
| PostalCode: | 748204610 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5804211191 | ||||||||
| FaxNumber: | 5804216167 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/21/2008 | ||||||||
| LastUpdateDate: | 02/19/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | 54392 | OK | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.