Individual
MARTHA TIRYAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
201 CEDAR SE #405, ALBUQUERQUE, NM 87106
(505) 764-9535
(505) 924-7336
Mailing address
201 CEDAR SE #405, ALBUQUERQUE, NM 87106
(505) 764-9535
(505) 924-7336
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
301
NM
367A00000X
Advanced Practice Midwife
Primary
R29952
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
94896
—
NM
Enumeration date
07/26/2006
Last updated
09/08/2016
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