Provider Demographics
NPI:1114051059
Name:RESH, EVELYN (CNM)
Entity Type:Individual
Prefix:MS
First Name:EVELYN
Middle Name:
Last Name:RESH
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:MS
Other - First Name:EVELYN
Other - Middle Name:K
Other - Last Name:RESH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CNM
Mailing Address - Street 1:777 NORTH ST
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-4147
Mailing Address - Country:US
Mailing Address - Phone:413-499-8570
Mailing Address - Fax:
Practice Address - Street 1:777 NORTH ST STE 301
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-4172
Practice Address - Country:US
Practice Address - Phone:413-499-8570
Practice Address - Fax:413-499-8565
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA178157176B00000X, 367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No176B00000XOther Service ProvidersMidwife