NPI 1003216839

Evans Komen, DNPPMHNPBC

Practitioner Psychiatric/Mental Health Nurse Practitioner Waterloo, IA

Practice location

Address: 2750 Saint Francis Dr, Waterloo, IA 50702-5644
Phone: (319) 272-8922
Fax: (319) 272-8929

Registered specialties

Psychiatric/Mental Health Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X Licence G119281 (IA)

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Registry record

NPI: 1003216839
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Aug 2014
Record last updated: 29 Aug 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.