MEDICARE: STEPHANIE MURILLO CPM, LM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	176B00000X	Midwife	99519	TX

General Provider Information

NPI Number	:	1770266686
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE MURILLO CPM, LM

Provider Business Mailing Address
First Line	:	4130 HUECO AVE
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79903-3012
Country	:	US
Telephone Number	:	915-562-2222
Fax Number	:	844-890-2713

Provider Business Practice Location Address
First Line	:	4130 HUECO AVE
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79903-3012
Country	:	US
Telephone Number	:	915-562-2222
Fax Number	:	844-890-2713

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2023
Last Update Date	:	08/08/2023

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Directions to “ STEPHANIE MURILLO CPM, LM” Practice Location

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