Individual
MARY M. FORLINES
Active
Individual
MARY M. FORLINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
457
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10002995
LOVELACE HEALTH/SALUD
—
05
—
560377
—
AZ
01
—
850313268020
CHAMPUS
—
05
—
A7256
—
NM
01
—
NM006605
BC/BS
NM
01
—
PROVP12986
MOLINA
—
Enumeration date
01/23/2006
Last updated
07/08/2007
Update your record
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