Individual
RACHEL BRUNACINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
2510 RIO GRANDE BLVD NW, ALBUQUERQUE, NM 87104-3224
(505) 415-0403
Mailing address
2510 RIO GRANDE BLVD NW, ALBUQUERQUE, NM 87104-3224
(505) 415-0403
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
19189R
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19189R
MIDWIFERY LICENSE
NM
Enumeration date
04/17/2019
Last updated
04/17/2019
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