Individual
CAROL LYNN EWING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
655 W PINON ST, FARMINGTON, NM 87401-5973
(505) 609-2590
(505) 609-2595
Mailing address
PO BOX 6210, FARMINGTON, NM 87499-6210
(505) 609-2258
(505) 609-2259
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
527
NM
Other
Enumeration date
06/26/2007
Last updated
04/10/2013
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