Individual
LAURA ANN GILLISPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1000 W COLLEGE AVE STE 147, SILVER CITY, NM 88061-4112
(575) 538-6014
(575) 538-6017
Mailing address
PO BOX 680, SILVER CITY, NM 88062-0680
(575) 538-6014
(575) 538-6017
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
541
NM
367A00000X
Advanced Practice Midwife
R27942
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
#541
NM DEPT. OF HEALTH
NM
01
—
24992
AM. COLLEGE NURSE MIDWIVE
NM
Enumeration date
09/07/2006
Last updated
02/04/2016
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