Individual
MRS. JULIA ANN BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM, RN
Contact information
Practice address
1111 CARRIZO ST NW, LOS LUNAS, NM 87031-6934
(575) 654-9631
Mailing address
1111 CARRIZO ST NW, LOS LUNAS, NM 87031-6934
(575) 654-9631
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
56184
NM
163WW0101X
Ambulatory Women's Health Care Registered Nurse
56184
NM
367A00000X
Advanced Practice Midwife
Primary
911
NM
Other
Enumeration date
07/16/2021
Last updated
08/15/2025
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