Tracy A Evans in Cranston - Surgical

Tracy A Evans - NPI 1922094853

Tracy A Evans is a Surgical in Cranston, Rhode Island. Tracy A Evans practices all healthcare services and medical treatments related to Surgical. The NPI Number for Tracy A Evans is 1922094853. The last update date is 2016-05-16.

Tracy A Evans's current location address is 725 Reservoir Ave, Cranston, Rhode Island. You can contact this provider via phone number 4019443800 and fax number 4019441342. The mailing address for Tracy A Evans is 725 Reservoir Ave, Cranston, Rhode Island. To know further, please read the information below!

Provider Profile Detail

Provider Name Tracy A Evans
Address 725 Reservoir Ave, Cranston, Rhode Island
Phone Number 4019443800
Fax Number 4019441342
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1922094853
Provider Enumeration Date 2005-09-26
Last Updated Date 2016-05-16

Provider Mailing Address Detail

Address 725 Reservoir Ave
City Cranston
State Rhode Island (RI)
Post Code 29104448
Phone Number 4019443800
Fax Number 4019441342

Provider's Primary Taxonomy Detail

Speciality Surgical
Taxonomy 363As0400X
Licence No CPA00245
Definition:
A licensed healthcare professional who assists in providing surgical care under physician supervision.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2036 RI BC
408249 RI BLUE CHIP
7008740 RI --
1922094853 RI DURABLE

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FAQs about Tracy A Evans

What is the unique 10-digit identifier code assigned to Tracy A Evans by the Centers for Medicare & Medicaid Services?

The Tracy A Evans has been issued the NPI (National Provider Identifier) 1922094853 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Tracy A Evans is geographically located?

The Tracy A Evans is physically situated at the following location: 725 Reservoir Ave, Cranston, RI, 29104448.

What is Tracy A Evans's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Tracy A Evans is Surgical, and the corresponding taxonomy classification code for this specialized field is 363As0400X.

When did Tracy A Evans receive its 1922094853 assignment?

The Tracy A Evans was assigned its 1922094853 on 2005-09-26, which is the date when this unique identifier was issued to the organization.

When was the information related to Tracy A Evans most recently updated or refreshed?

The details pertaining to the Tracy A Evans, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-05-16.

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