OrganizationActive
Evernorth Care Providers - Delaware PA
NPI 1891559894 · General Practice Physician · Manchester, NH
Provider details
- NPI number
- 1891559894
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jacqueline Lakes, Senior Paralegal(954) 446-0640
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1045 Elm St Ste 204
Manchester, NH 03101-1844
Phone: (773) 292-4800
Fax: (312) 564-4059
Approximate (ZIP-level) locationGet directions
Mailing address
730 Cool Springs Blvd Ste 500
Franklin, TN 37067-7331
Registry dates
- Enumerated
- 2024-02-09
- Last updated
- 2025-07-14
- Certified
- 2025-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.