Individual
GAIL L ROTHFORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
401 SAN MATEO BLVD SE, PMG SAN MATEO, ALBUQUERQUE, NM 87108-2921
(505) 462-7306
(505) 462-7495
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
474
NM
367A00000X
Advanced Practice Midwife
Primary
474
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6180345
—
NM
Enumeration date
10/03/2006
Last updated
10/14/2024
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