Provider Demographics
NPI:1932548203
Name:EVERS, MARGARET ANNE (PA-C)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:ANNE
Last Name:EVERS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MISS
Other - First Name:MARGARET
Other - Middle Name:ANNE
Other - Last Name:TYMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1616 EVANS RD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-9653
Mailing Address - Country:US
Mailing Address - Phone:919-378-9761
Mailing Address - Fax:919-234-0494
Practice Address - Street 1:1616 EVANS RD
Practice Address - Street 2:SUITE 204
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-9653
Practice Address - Country:US
Practice Address - Phone:919-378-9761
Practice Address - Fax:919-234-0494
Is Sole Proprietor?:No
Enumeration Date:2013-06-20
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC001004309363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant