Individual
MS. MONA RAE WAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
385 CALLE DE ALEGRA BLDG C, LAS CRUCES, NM 88005-3423
(575) 556-8200
(575) 521-7199
Mailing address
385 CALLE DE ALEGRA STE A, LAS CRUCES, NM 88005-3423
(575) 526-1105
(575) 524-4266
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
600
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26252805
—
NM
01
—
600
NM DEPARTMENT OF HEALTH CERTIFIED NURSE-MIDWIFE
NM
01
—
CS00215472
STATE CONTROLLED SUBSTANCE NEW MEXICO
NM
01
—
R44548
BOARD OF NURSING
NM
Enumeration date
06/04/2010
Last updated
07/17/2018
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