Tracey L Evans
Hematology & Oncology
100 E Lancaster Ave
Wynnewood
, Pennsylvania 19096
Tracey L Evans
Hematology & Oncology
100 E Lancaster Ave
Wynnewood
, Pennsylvania 19096
(610) 645-4456
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About
Features
Specialties
- Hematology & Oncology
Languages spoken
- English
Location
First Address
- Tracey L Evans
- 30 Lawrence Rd Ste 201
- Broomall, PA
- Zip : 19008-3301
- Fax : (610) 645-4456
- Phone : (610) 645-2494
Second Address
- Tracey L Evans
- 100 E Lancaster Ave
- Wynnewood, PA
- Zip : 19096
- Fax : (610) 645-4456
- Phone : (610) 645-2494
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RH0003X | Hematology & Oncology | MD419780 | PA |
National Provider Identifier
| NPI | 1033152319 |
|---|---|
| Provider Name | Tracey L Evans |
| First Address | Broomall, PA 19008-3301 |
| Second Address | Wynnewood, PA 19096 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/06/2006 |
| Last Update Date | 10/09/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0019113850001 | (05) | PA |
| H66661 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.