Organization
ORGAN MOUNTAINS FAMILY & WOMEN'S HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNE GAIL STAGNER CNM, FNP-C (OWNER, MEMBER)
(575) 888-4067
Entity
Organization
Contact information
Practice address
3225 DYER ST, LAS CRUCES, NM 88011-4803
(575) 888-4067
(575) 888-4067
Mailing address
3225 DYER ST, LAS CRUCES, NM 88011-4803
(575) 888-4067
(575) 449-2425
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47823071
—
NM
Enumeration date
04/08/2020
Last updated
12/28/2024
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