| NPI | 1346879574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE GAIL STAGNER Owner, Member 575-888-4067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2024-12-28 |