Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 0101256219 | VA |
N | 207VE0102X | Reproductive Endocrinologist | 2011-01333 | NC |
NPI | 1609098219 |
---|---|
Provider Name | Mrs. Emily Ann Evans-Hoeker |
First Address | Roanoke, VA 24013-2256 |
Second Address | Roanoke, VA 24013-2256 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2007 |
Last Update Date | 08/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
29364 | (05) | AL |
VVD778A | MEDICARE PTAN (01) | VA |