Organization
HUMMINGBIRD MIDWIFERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTEN MARIE LM (OFFICE MANAGER)
(505) 262-1690
Entity
Organization
Contact information
Practice address
413 PACIFIC AVE SW, ALBUQUERQUE, NM 87102-4166
(505) 262-1690
Mailing address
413 PACIFIC AVE SW, ALBUQUERQUE, NM 87102-4166
(505) 262-1690
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50851764
—
NM
05
—
98902351
—
NM
Enumeration date
04/27/2012
Last updated
04/27/2012
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