Provider Demographics
NPI:1912139213
Name:MCEVOY ABRAMS, MARIANNE MILLIS (MSN,CNM)
Entity Type:Individual
Prefix:
First Name:MARIANNE
Middle Name:MILLIS
Last Name:MCEVOY ABRAMS
Suffix:
Gender:F
Credentials:MSN,CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1110 WOODSEDGE RD
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-4366
Mailing Address - Country:US
Mailing Address - Phone:302-670-5407
Mailing Address - Fax:
Practice Address - Street 1:805 S GOVERNORS AVE
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-4158
Practice Address - Country:US
Practice Address - Phone:302-678-5200
Practice Address - Fax:302-678-5277
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-20
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELK-0000103367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife