NPI 1790588150

Evan Patrick Bickerstaff

Practitioner Certified Registered Nurse Anesthetist Kokomo, IN

Practice location

Address: 1907 W Sycamore St, Kokomo, IN 46901-5148
Phone: (765) 452-5611
Mailing address: 5816 Beacon Cove Way, Indianapolis, IN 46237-9192

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 28254369A (IN)

Other Nurse Anesthetist, Certified Registered providers in Indiana →

Registry record

NPI: 1790588150
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Mar 2025
Record last updated: 28 May 2025

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.