Doctor Name: | MS. EVELYN SUSAN ROESLER |
NPI Number: | 1770615361 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 341 |
Business Practice Address: | 3130 State Hwy Rte 6 Route 6 Wellfleet, MA - 026677402 |
Business Phone Number: | 5082400208 |
Business Fax Number: | 5082400499 |
Mailing Address: | 3130 State Hwy Rte 6, Route 6 WELLFLEET |
State: | MA |
Postal Code: | 026677402 |
Phone Number: | 5082400208 |
Fax Number: | 5082400499 |
NPI Enumeration Date: | 03/10/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 341 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |