Individual
ALISON L. CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
385 CALLE DE ALEGRA BLDG C, LAS CRUCES, NM 88005-3423
(575) 556-8200
(575) 521-7199
Mailing address
385 CALLE DE ALEGRA, BLDG. A, LAS CRUCES, NM 88005-3423
(575) 526-1105
(575) 524-4266
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
696
NM
367A00000X
Advanced Practice Midwife
AP03090
LA
367A00000X
Advanced Practice Midwife
R868545
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
414370YRND
MEDICARE
NM
05
—
58003827
—
NM
Enumeration date
11/18/2005
Last updated
08/30/2018
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