Individual
KATHLEEN M. VARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
516 EAST NIZHONI BLVD., GALLUP, NM 87301-1337
(505) 722-1000
(505) 722-1268
Mailing address
P.O. BOX 1337, GALLUP, NM 87305-1337
(505) 722-1000
(505) 722-1268
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704155724
MI
163W00000X
Registered Nurse
RN071531
AZ
367A00000X
Advanced Practice Midwife
Primary
4704155724
MI
367A00000X
Advanced Practice Midwife
AP0208
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
437500
—
AZ
Enumeration date
11/01/2006
Last updated
02/24/2012
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