EVERNORTH CARE PROVIDERS - DELAWARE PA - NPI 1023840386

Q: What is Evernorth Care Providers - Delaware PA's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

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About Evernorth Care Providers - Delaware Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVERNORTH CARE PROVIDERS - DELAWARE PA (NPI 1023840386) is a healthcare organization registered as a general practice in Bangor, Maine and active in the NPI registry since August 2024. The organization lists Grace Blue, Credentialing Sr. Manager, as its authorized official.

NPPES Registry Identity

NPI1023840386

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameEVERNORTH CARE PROVIDERS - DELAWARE PA

Location Address700 MAIN ST STE 3Bangor, ME 04401-6800

Mailing Address730 Cool Springs Blvd Ste 500Franklin, TN 37067-7331 · (773) 292-4800 · Fax (312) 564-4059

Phone(773) 292-4800

Fax(773) 564-4059

Organization SubpartNo

Authorized OfficialGrace BlueCredentialing Sr. Manager · (773) 292-4800

Enumeration DateAugust 15, 2024

NPPES CertifiedAugust 15, 2024

✔ NPI 1023840386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

700 MAIN ST STE 3, Bangor, ME 04401

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH DUKE N.P.

Nurse Practitioner (Family)