NPI 1215675327
Evernorth Care Providers - Delaware PA
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
Family Medicine Physician
Hospice and Palliative Medicine (Family Medicine) Physician
Hospice and Palliative Medicine (Internal Medicine) Physician
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.