Provider Demographics
NPI:1871128991
Name:EVANS-GETHERS, LILLIE MAE
Entity type:Individual
Prefix:MS
First Name:LILLIE
Middle Name:MAE
Last Name:EVANS-GETHERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LILLIE
Other - Middle Name:
Other - Last Name:EVANS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12 QUINCY PL NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-2134
Mailing Address - Country:US
Mailing Address - Phone:202-509-3874
Mailing Address - Fax:
Practice Address - Street 1:12 QUINCY PL NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-2134
Practice Address - Country:US
Practice Address - Phone:202-509-3874
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-09
Last Update Date:2020-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No372600000XNursing Service Related ProvidersAdult Companion