Individual
MRS. CARISA BREAKFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LM, DSM, DNM
Contact information
Practice address
1505 MADISON AVE, ROSWELL, NM 88203-5426
(601) 341-5835
Mailing address
1505 MADISON AVE, ROSWELL, NM 88203-5426
(601) 341-5835
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
335283
MS
176B00000X
Midwife
Primary
24003R
NM
176B00000X
Midwife
341549
LA
246RP1900X
Phlebotomy Technician
332149
MS
282J00000X
Religious Nonmedical Health Care Institution
—
MS
305S00000X
Point of Service
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24003R
LICENSED MIDWIFE
NM
01
—
335283
LPN LICENSE
MS
01
—
341549
LICENSED MIDWIFE
LA
01
—
57529
MADRIELLA DOULA NETWORK DOULA
MS
01
—
IMP20H8WFDS5
AHA BLS INSTRUCTOR
MS
Enumeration date
07/13/2018
Last updated
03/12/2026
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