Healthcare Provider Details

I. General information

NPI: 1609098219
Provider Name (Legal Business Name): EMILY ANN EVANS-HOEKER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILY ANN EVANS M.D.

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 12/08/2020
Certification Date: 12/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 HIGHLAND AVE SE SUITE 304
ROANOKE VA
24013-2256
US

IV. Provider business mailing address

102 HIGHLAND AVE SE SUITE 304
ROANOKE VA
24013-2256
US

V. Phone/Fax

Practice location:
  • Phone: 540-985-9715
  • Fax: 540-985-8487
Mailing address:
  • Phone: 540-985-9715
  • Fax: 540-985-8487

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number2011-01333
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number0101256219
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: