Healthcare Provider Details

I. General information

NPI: 1174869143
Provider Name (Legal Business Name): INSPIRED BIRTH AND FAMILIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2012
Last Update Date: 12/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3916 CARLISLE BLVD NE STE B
ALBUQUERQUE NM
87107-4500
US

IV. Provider business mailing address

3916 CARLISLE BLVD NE STE B
ALBUQUERQUE NM
87107-4500
US

V. Phone/Fax

Practice location:
  • Phone: 505-232-2772
  • Fax:
Mailing address:
  • Phone: 505-232-2772
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name: AMYLEE UDELL
Title or Position: OWNER
Credential:
Phone: 505-232-2772