Individual
JAYA NOVA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M.
Contact information
Practice address
4705 MONTGOMERY BLVD NE, STE 301, ALBUQUERQUE, NM 87109-1226
(505) 727-4500
(505) 727-4505
Mailing address
4705 MONTGOMERY BLVD NE, STE 301, ALBUQUERQUE, NM 87109-1226
(505) 727-4500
(505) 727-4505
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
643
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80331866
—
NM
Enumeration date
08/20/2012
Last updated
02/05/2016
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