Whalio Doctors

NPI 1215675327

Evernorth Care Providers - Delaware PA

Organisation Internal Medicine Physician Rutland, VT

Practice location

Address
67 Merchants Row STE 201, Rutland, VT 05701-5938
Phone
(773) 292-4800
Fax
(312) 564-4059
Mailing address
730 Cool Springs Blvd STE 500, Franklin, TN 37067-7331

Authorised official

Name
Grace V Blue
Title
Credentialing Sr. Manager
Phone
(773) 292-4800

Registered specialties (4)

Internal Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207R00000X
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X
Hospice and Palliative Medicine (Family Medicine) Physician
Allopathic & Osteopathic Physicians Taxonomy 207QH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Allopathic & Osteopathic Physicians Taxonomy 207RH0002X

Registry record

NPI
1215675327
Entity type
Organization
NPI issued
27 May 2022
Record last updated
21 Feb 2024

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.