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Mrs. Mary Nicole Everhart, PA
Physician Assistant in Austin, Texas
NPI 1770912313

Mary Nicole Everhart is a Physician Assistant based in Austin, TX. Mary Nicole Everhart practices in Austin, TX and has the professional credentials of PA. The NPI Number for Mary Nicole Everhart is 1770912313 and holds a License No. PA11896 (Texas).

The current practice location address for Mary Nicole Everhart is 1705 E 11Th St, Austin, TX and can be reached out via phone at 512-978-8400 and via fax at 512-901-9726.

Location: 1705 E 11Th St, Austin, TX, 78702-2709
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770912313
Provider Name
Mary Nicole Everhart
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1705 E 11Th St, Austin, TX, 78702-2709
Phone Number
512-978-8400
Fax Number
512-901-9726
Provider Enumeration Date
11/04/2013
Last Update Date
07/20/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA9107501 01 FL MEDICAL LICENSE
010608200 05 FL
institution
Provider Business Practice Location Address Details
Address
1705 E 11Th St
City
Austin
State
Texas
Zip
78702
Phone Number
512-978-8400
Fax Number
512-901-9726
person
Provider Business Mailing Address Details
Address
1705 E 11Th St
City
Austin
State
Texas
Zip
78702
Phone Number
512-978-8400
Fax Number
512-901-9726
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA9107501 (Florida)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA9107501 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
PA11896 (Texas)
Definition
Definition to come...
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