Healthcare Provider Details

I. General information

NPI: 1114660248
Provider Name (Legal Business Name): EMILY RACHEL EVANS APRN-CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/17/2022
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5850 LANDERBROOK DR STE 300
MAYFIELD HTS OH
44124-4071
US

IV. Provider business mailing address

8055 MAYFIELD RD STE 105
CHESTERLAND OH
44026-2447
US

V. Phone/Fax

Practice location:
  • Phone: 440-720-3250
  • Fax: 440-720-3241
Mailing address:
  • Phone: 440-214-8026
  • Fax: 216-201-7963

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberCNM07481
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: