OrganizationActive
Evernorth Care Providers - Arizona PC
NPI 1407618598 · General Practice Physician · Lincoln, NE
Provider details
- NPI number
- 1407618598
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Grace Blue, Credentialing Sr. Manager
Practice location
233 S 13th St Ste 1100
Lincoln, NE 68508-2003
Phone: (773) 292-4800
Fax: (312) 564-4059
Mailing address
730 Cool Springs Blvd Ste 500
Franklin, TN 37067-7331
Registry dates
- Enumerated
- 2024-01-25
- Last updated
- 2024-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.