Individual
CRISTY JANESE WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
42121 US HIGHWAY 70, PORTALES, NM 88130-9054
(575) 356-6652
Mailing address
2000 W 21ST ST, STE A-1, CLOVIS, NM 88101-4087
(575) 762-8055
(575) 763-3351
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
448
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39073
—
NM
Enumeration date
05/17/2006
Last updated
06/13/2022
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