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EVERNORTH CARE PROVIDERS - ARIZONA PC
NPI 1679336812
General Practice in Cheyenne, WY

Active since January 31, 2024
1603 CAPITOL AVE STE 510D, CHEYENNE, WY 82001(773) 292-4800(312) 564-4059 Get Directions Write a Review

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Evernorth Care Providers - Arizona Pc NPPES

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

EVERNORTH CARE PROVIDERS - ARIZONA PC (NPI 1679336812) is a healthcare organization registered as a general practice in Cheyenne, Wyoming and active in the NPI registry since January 2024. The organization lists Grace Blue, Credentialing Sr. Manager, as its authorized official.

NPPES Registry Identity

NPI1679336812
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameEVERNORTH CARE PROVIDERS - ARIZONA PC
Location Address1603 CAPITOL AVE STE 510DCheyenne, WY 82001-4563
Mailing Address730 Cool Springs Blvd Ste 500Franklin, TN 37067-7331 · (773) 292-4800 · Fax (312) 564-4059
Phone(773) 292-4800
Fax(312) 564-4059
Organization SubpartNo
Authorized OfficialGrace BlueCredentialing Sr. Manager · (773) 292-4800
Enumeration DateJanuary 31, 2024
NPPES CertifiedJanuary 31, 2024
✔ NPI 1679336812 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
1603 CAPITOL AVE STE 510D, Cheyenne, WY 82001
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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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evernorth Care Providers - Arizona PC's NPI number?

The NPI number for Evernorth Care Providers - Arizona PC is 1679336812. It was assigned to this organization in the NPPES registry on January 31, 2024.

Where is Evernorth Care Providers - Arizona PC located?

Evernorth Care Providers - Arizona PC is located at 1603 Capitol Ave Ste 510D, Cheyenne, WY 82001. The listed phone number is (773) 292-4800.

What is Evernorth Care Providers - Arizona PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Evernorth Care Providers - Arizona PC was last updated on January 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.