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Individual

JOAN DARBY NORRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LM, CPM

Contact information

Practice address
1331 MAESTAS RD, TAOS, NM 87571-6268
(505) 758-1215
(505) 758-2683
Mailing address
1331 MAESTAS RD, TAOS, NM 87571-6268
(505) 758-1215
(505) 758-2683

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
95297R
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12083772
CAQH
NM
01
65359
PRESBYTERIAN
NM
01
NM00H609
BLUE CROSS BLUE SHIELD
NM
01
PROVPI5297
MOLINA
NM
05
Q2406
NM
Enumeration date
09/21/2006
Last updated
09/16/2010
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