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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