Individual
MICHELLE PINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
80B VETERANS BLVD, SAN FIDEL, NM 87049
(505) 552-5415
Mailing address
201 CEDAR ST SE, STE. 5640, ALBUQUERQUE, NM 87106-4917
(505) 843-6168
(505) 247-9743
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
472
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
F6124
—
NM
Enumeration date
12/06/2006
Last updated
02/13/2015
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