Victoria S Evans, CNM

Individual provider Active NPI Advanced Practice Midwife · Rockland, ME

NPI 1609084441 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1609084441
Entity type
Individual (NPI type 1)
Primary specialty
Advanced Practice Midwife 367A00000X
License
R026098 (ME)
Practice address
22 White St
Suite 101
Rockland, ME 04841-2978
Phone
(207) 592-3114
NPI assigned
May 17, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
000023CTMDClinical Social Worker
R026098MEMDAdvanced Practice Midwife

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X R026098 ME Yes
Advanced Practice Midwife 367A00000X 000023 CT

Addresses

Primary practice location

22 White St
Suite 101
Rockland, ME 04841-2978

Mailing address

4 Vernon St
Camden, ME 04843-2017

Other providers in Rockland, ME

All providers in Rockland, ME · Advanced Practice Midwife in Maine

Sources for this page

Verify at the official NPI Registry.