Individual
NANCY S CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
390 CALLE DE ALEGRA, LAS CRUCES, NM 88005-3280
(575) 556-8150
(505) 556-8159
Mailing address
390 CALLE DE ALEGRA, LAS CRUCES, NM 88006
(575) 556-8150
(575) 556-8159
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
4923
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95147
—
NM
Enumeration date
06/12/2008
Last updated
06/12/2008
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