Provider Demographics
NPI:1841544673
Name:MCEVOY, MACALLAGH JAMES (ARNP)
Entity type:Individual
Prefix:MS
First Name:MACALLAGH
Middle Name:JAMES
Last Name:MCEVOY
Suffix:
Gender:F
Credentials:ARNP
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Mailing Address - Street 1:4800 SAND POINT WAY NE
Mailing Address - Street 2:M/S MB.5.605
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105
Mailing Address - Country:US
Mailing Address - Phone:206-987-2973
Mailing Address - Fax:206-987-2676
Practice Address - Street 1:450 BROOKLINE AVE
Practice Address - Street 2:DA 100L4
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5418
Practice Address - Country:US
Practice Address - Phone:617-632-5436
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-31
Last Update Date:2017-09-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MARN2278669363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics