Individual
ELLEN LESLIE SIBELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
US HWY 491 NORTH, SHIPROCK, NM 87420
(505) 368-6401
(505) 368-6431
Mailing address
PO BOX 160, SHIPROCK, NM 87420-0160
(505) 368-6401
(505) 368-6431
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
69065
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
703779
—
AZ
05
—
80378323
—
CO
05
—
81271859
—
NM
Enumeration date
11/02/2005
Last updated
01/04/2008
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