Provider Demographics
NPI:1225334527
Name:EVANS, SAMANTHA YVONNE (RN, CNM)
Entity Type:Individual
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First Name:SAMANTHA
Middle Name:YVONNE
Last Name:EVANS
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Gender:F
Credentials:RN, CNM
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Mailing Address - Street 1:4100 DUVAL ROAD
Mailing Address - Street 2:BLDG 2 #101
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759
Mailing Address - Country:US
Mailing Address - Phone:512-346-3224
Mailing Address - Fax:512-345-6637
Practice Address - Street 1:4100 DUVAL ROAD
Practice Address - Street 2:BLDG 2 #101
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759
Practice Address - Country:US
Practice Address - Phone:512-346-3224
Practice Address - Fax:512-345-6637
Is Sole Proprietor?:No
Enumeration Date:2011-02-03
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXAP119727367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife