Organization
NATURAL BIRTH MIDWIFERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CONNIE KOSHEWA LM, CPM, MPH (OWNER)
(505) 266-5762
Entity
Organization
Contact information
Practice address
123 WELLESLEY DR SE, ALBUQUERQUE, NM 87106-1443
(505) 266-5762
(505) 268-7500
Mailing address
123 WELLESLEY DR SE, ALBUQUERQUE, NM 87106-1443
(505) 266-5762
(505) 268-7500
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
04008R
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
97423882
—
NM
Enumeration date
11/08/2012
Last updated
11/08/2012
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