Individual
TERRI LYNN SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
2303 MEADOW RD SW, ALBUQUERQUE, NM 87105-4916
(505) 243-6116
Mailing address
2303 MEADOW RD SW, ALBUQUERQUE, NM 87105-4916
(505) 243-6116
Taxonomy
Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
Primary
00408R
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
98553763
—
NM
Enumeration date
03/05/2007
Last updated
07/09/2007
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