Provider Demographics
NPI:1548594955
Name:EVANS, AMBER LEE (RNC-OB, CNM)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:LEE
Last Name:EVANS
Suffix:
Gender:F
Credentials:RNC-OB, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 WATSON MILL ROAD
Mailing Address - Street 2:
Mailing Address - City:LANDENBERG
Mailing Address - State:PA
Mailing Address - Zip Code:19350
Mailing Address - Country:US
Mailing Address - Phone:610-869-2220
Mailing Address - Fax:610-869-6550
Practice Address - Street 1:135 WATSON MILL RD
Practice Address - Street 2:
Practice Address - City:LANDENBERG
Practice Address - State:PA
Practice Address - Zip Code:19350-9344
Practice Address - Country:US
Practice Address - Phone:610-869-2220
Practice Address - Fax:610-869-6550
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-01
Last Update Date:2009-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMW008475L207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology