Individual
MRS. MARY E EVERSOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1100 REID PKWY STE 210, RICHMOND, IN 47374-1157
(765) 962-1337
(765) 966-0858
Mailing address
1100 REID PKWY, MEDICAL STAFF SERVICES, RICHMOND, IN 47374-1157
(765) 983-3492
(765) 983-7958
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71004556A
IN
363LF0000X
Family Nurse Practitioner
COA.17256-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000873886
ANTHEM
IN
05
—
0102806
—
OH
05
—
201219820
—
IN
Enumeration date
08/14/2013
Last updated
06/28/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us