Individual
KIMBERLY IONE WAGELEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHNP/CNM
Contact information
Practice address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4934
(505) 907-8375
Mailing address
9505 THUNDER RD NW, ALBUQUERQUE, NM 87120-4233
(505) 907-8375
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
887
NM
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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