Individual
MEGAN BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
4701 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109-1219
(505) 727-4500
Mailing address
200 MULBERRY ST NE UNIT 2020, ALBUQUERQUE, NM 87106-4770
(248) 881-4071
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
263701
AZ
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
885
NM LICENSE
NM
Enumeration date
05/09/2024
Last updated
10/30/2024
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