Individual
MS. SUSAN LYNNE SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
4705 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109-1226
(505) 727-4500
(505) 727-4505
Mailing address
6100 PAN AMERICAN EAST FWY NE, ALBUQUERQUE, NM 87109-3427
(505) 727-6200
(505) 727-9590
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
441
NM
176B00000X
Midwife
R25073
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000Z9909
—
NM
05
—
761769
—
AZ
Enumeration date
11/21/2006
Last updated
08/12/2015
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