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NPI Code Detail

MEDICARE: EMILY CAROLYN EVANS PA-C

MEDICARE: EMILY CAROLYN EVANS PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician AssistantMA067523PA

General Provider Information

NPI Number : 1477177806
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY CAROLYN EVANS PA-C
Provider Business Mailing Address
First Line : 60 N 36TH ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19104-5639
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 60 N 36TH ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19104-5639
Country : US
Telephone Number : 267-359-5741
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2020
Last Update Date : 01/20/2026

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Directions to “ EMILY CAROLYN EVANS PA-C” Practice Location

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