Community Midwives LLC

Organization Active NPI Midwife · Aztec, NM

NPI 1548447543 · NPPES record last updated Jan 22, 2008

Key facts

NPI
1548447543
Entity type
Organization (NPI type 2)
Primary specialty
Midwife 176B00000X
License
84100-R (NM)
Legal business name
COMMUNITY MIDWIVES LLC
Practice address
603 NE Aztec Blvd
Aztec, NM 87410-1706
Phone
(970) 385-2626
Fax
(970) 375-9053
NPI assigned
Jan 22, 2008
Organization subpart
No

Authorized official

Name
Ms. Juanita Nelson, LM, RM, CPM
Title
Owner/Partner
Phone
(970) 385-2626

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

603 NE Aztec Blvd
Aztec, NM 87410
Phone (970) 385-2626

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife
Group: 193400000X SINGLE SPECIALTY GROUP
176B00000X 84100-R NM Yes

Addresses

Primary practice location

603 NE Aztec Blvd
Aztec, NM 87410-1706

Mailing address

755 E 2ND Ave
Durango, CO 81301-5498
Phone (970) 385-2626

Other providers in Aztec, NM

All providers in Aztec, NM · Midwife in New Mexico

Sources for this page

Verify at the official NPI Registry.