Individual
MARY MAGDALENA COLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
516 E. NIZHONI BLVD., BOX 1337, GALLUP, NM 87301-1337
(505) 722-1000
(505) 722-1268
Mailing address
516 E. NIZHONI BLVD., BOX 1337, GALLUP, NM 87301-1337
(505) 722-1000
(505) 722-1268
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R44205
NM
367A00000X
Advanced Practice Midwife
Primary
444
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000Z4706
—
NM
05
—
810532
—
AZ
Enumeration date
07/11/2006
Last updated
04/11/2008
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