TRACY A EVANS, PA-C, Surgical CUMBERLAND, RI

Contact Information

TRACY A EVANS, PA-C

2138 MENDON RD
SUITE 302
CUMBERLAND, RI 02864-3834

Phone: 401-334-1060
Fax: 401-334-1063
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgical	363AS0400X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for TRACY A EVANS · (Female)

NPI #	`1922094853`
Status	Active
Credentials	PA-C (Physician Assistant-Certified)
Entity	Individual
Enumeration date	09/26/2005
Last updated	05/16/2016 - About 10 years ago
Sole proprietor ¹	No
Identifiers	RI License # CPA00245 RI Medicaid 7008740 RI Other 2036 BC RI Other 408249 BLUE CHIP RI Other 1922094853 DURABLE
Hospital affiliation(s)	ROGER WILLIAMS MEDICAL CENTER - (Acute Care) 825 CHALKSTONE AVENUE PROVIDENCE, RI 02908

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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TRACY A EVANS, PA-C – NPI #1922094853Surgical

Contact Information

Specialty

Surgical

NPI Profile & details for TRACY A EVANS · (Female)

Reviews for TRACY A EVANS

TRACY A EVANS, PA-C – NPI #1922094853
Surgical