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NPI Code Detail

MEDICARE: VICTORIA S EVANS CNM

MEDICARE: VICTORIA S EVANS 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
1367A00000XAdvanced Practice MidwifeR026098ME
2367A00000XAdvanced Practice Midwife000023CT

General Provider Information

NPI Number : 1609084441
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA S EVANS CNM
Provider Business Mailing Address
First Line : 4 VERNON ST
Second Line :
City : CAMDEN
State : ME
Zip : 04843-2017
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 22 WHITE ST
Second Line : SUITE 101
City : ROCKLAND
State : ME
Zip : 04841-2978
Country : US
Telephone Number : 207-592-3114
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2007
Last Update Date : 07/08/2007

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Directions to “ VICTORIA S EVANS CNM” Practice Location

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