Organization
HIGH DESERT MIDWIFERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUISE SELF LM, CPM (MIDWIFE)
(505) 450-2222
Entity
Organization
Contact information
Practice address
4916 4TH ST NW, ALBUQUERQUE, NM 87107-3949
(505) 450-2222
(877) 500-7949
Mailing address
4916 4TH ST NW, ALBUQUERQUE, NM 87107-3949
(505) 450-2222
(877) 500-7949
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
1412R
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54937582
—
NM
Enumeration date
04/14/2014
Last updated
02/01/2017
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