Individual
ELIZABETH CASSIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
1500 5TH ST, SANTA FE, NM 87505-3480
(505) 470-1690
(505) 983-3003
Mailing address
2068 CALLE CONTENTO, SANTA FE, NM 87505-5406
(505) 460-1690
(505) 983-3003
Taxonomy
Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
Primary
96307-R
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
48659517
—
NM
Enumeration date
04/12/2007
Last updated
07/08/2007
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