MEDICARE: MS. EVELYN RESH CNM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	176B00000X	Midwife	178157	MA
2	367A00000X	Advanced Practice Midwife	178157	MA

General Provider Information

NPI Number	:	1114051059
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. EVELYN RESH CNM

Provider Business Mailing Address
First Line	:	777 NORTH ST
Second Line	:
City	:	PITTSFIELD
State	:	MA
Zip	:	01201-4147
Country	:	US
Telephone Number	:	413-499-8570
Fax Number	:

Provider Business Practice Location Address
First Line	:	777 NORTH ST STE 301
Second Line	:
City	:	PITTSFIELD
State	:	MA
Zip	:	01201-4172
Country	:	US
Telephone Number	:	413-499-8570
Fax Number	:	413-499-8565

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/15/2007
Last Update Date	:	07/21/2022

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