Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Evanston Clinic Corp

Organization Family Medicine Physician · NPI 1013916519

Evanston Clinic Corp is a Family Medicine Physician in Evanston, Wyoming. Licensed in Wyoming. Registered with an NPI since 2005.

Licensed in
WY
In the registry since
2005
Specialties on file
9
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

196 Arrowhead Dr Ste 8
Evanston, WY 82930-8752
Phone: (307) 783-8365
Fax: (307) 783-8284
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (WY)
Internal Medicine Physician Taxonomy 207R00000X (WY)
Obstetrics & Gynecology Physician Taxonomy 207V00000X (WY)
Surgery Physician Taxonomy 208600000X (WY)
Urology Physician Taxonomy 208800000X (WY)
General Practice Physician Taxonomy 208D00000X
Physician Assistant Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1013916519
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laura Fey — Director Revenue Cycle · (615) 221-3641
NPI enumeratedJuly 18, 2005
Last updated in NPPESMarch 4, 2019
Mailing addressPo Box 5009, Brentwood, TN 37024-5009

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