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Organization

BREATH OF MY HEART BIRTHPLACE

Active
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Organization

BREATH OF MY HEART BIRTHPLACE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEANETTE A TSOSIE (OPERATIONS DIRECTOR)
(505) 753-0505
Entity
Organization

Contact information

Practice address
905 CALLE ARMADA, ESPANOLA, NM 87532
(505) 753-0505
(505) 212-0420
Mailing address
905 CALLE ARMADA, ESPANOLA, NM 87532
(505) 753-0505
(505) 212-0420

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
09065R
NM
176B00000X
Midwife
261QB0400X
Birthing Clinic/Center
363LP2300X
Primary Care Nurse Practitioner
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
95523537
NM
Enumeration date
11/12/2016
Last updated
05/01/2026
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