Provider Demographics
NPI:1285019372
Name:EVANS, SHERYL ANNE (CPM, LM)
Entity Type:Individual
Prefix:MS
First Name:SHERYL
Middle Name:ANNE
Last Name:EVANS
Suffix:
Gender:F
Credentials:CPM, LM
Other - Prefix:MS
Other - First Name:SHERYL
Other - Middle Name:ANNE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3914 MURPHY CANYON ROAD, STE. A-138
Mailing Address - Street 2:SAN DIEGO COUNTY MIDWIVES
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123
Mailing Address - Country:US
Mailing Address - Phone:760-521-6094
Mailing Address - Fax:
Practice Address - Street 1:3914 MURPHY CANYON ROAD, STE. A-138
Practice Address - Street 2:SAN DIEGO COUNTY MIDWIVES
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123
Practice Address - Country:US
Practice Address - Phone:760-521-6094
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-30
Last Update Date:2015-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALM 447176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife