Provider Demographics
NPI:1366768277
Name:EVANS, HENRIETTA VALAIR (DNP APRN)
Entity type:Individual
Prefix:DR
First Name:HENRIETTA
Middle Name:VALAIR
Last Name:EVANS
Suffix:
Gender:F
Credentials:DNP APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:855 ROCKMEAD DR STE 604
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-2102
Mailing Address - Country:US
Mailing Address - Phone:832-879-2107
Mailing Address - Fax:832-442-5044
Practice Address - Street 1:855 ROCKMEAD DR STE 604
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-2102
Practice Address - Country:US
Practice Address - Phone:832-879-2107
Practice Address - Fax:832-442-5044
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-16
Last Update Date:2025-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP118936363LP0808X, 163WW0000X, 363LG0600X
TX711274163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WW0000XNursing Service ProvidersRegistered NurseWound Care
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No163W00000XNursing Service ProvidersRegistered Nurse