Provider Demographics
NPI:1033730114
Name:EVERSOLE, DEBORAH LYNN (CNM)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:LYNN
Last Name:EVERSOLE
Suffix:
Gender:
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 N ATWATER RD
Mailing Address - Street 2:
Mailing Address - City:OAK HARBOR
Mailing Address - State:OH
Mailing Address - Zip Code:43449-9709
Mailing Address - Country:US
Mailing Address - Phone:216-392-3176
Mailing Address - Fax:
Practice Address - Street 1:559 HARMON RD
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:OH
Practice Address - Zip Code:45817-1085
Practice Address - Country:US
Practice Address - Phone:419-424-0180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-30
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNM.019433367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife