Individual
EVA WAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
BEVERLY HOSPITAL, 85 HERRICK STREET, BEVERLY, MA 01915
(978) 927-7880
Mailing address
BEVERLY HOSPITAL, 85 HERRICK STREET, BEVERLY, MA 01915
(978) 927-7880
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
229716
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NPP-OOO
CNM
MA
Enumeration date
06/15/2007
Last updated
03/17/2018
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