Individual
TRISHA JOELLA MAXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
465 SAINT MICHAELS DR, SUITE 117, SANTA FE, NM 87505-7670
(505) 984-0303
Mailing address
465 SAINT MICHAELS DR, SUITE 117, SANTA FE, NM 87505-7670
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
603
NM
367A00000X
Advanced Practice Midwife
Primary
R44590
NM
Other
Enumeration date
11/29/2010
Last updated
05/25/2016
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