Individual
DR. NICHOLAS JAMES EVERTSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 887-2855
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
OS013911
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03248437
—
NY
05
—
102500574
—
PA
Enumeration date
10/21/2008
Last updated
04/07/2021
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