Healthcare Provider Details

I. General information

NPI: 1700210143
Provider Name (Legal Business Name): KATHERINE LEIGH KNAUBER-FERRIEGEL CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAIT KNAUBER CNM

II. Dates (important events)

Enumeration Date: 08/21/2013
Last Update Date: 10/01/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1231 CANDELARIA RD NW
ALBUQUERQUE NM
87107-2767
US

IV. Provider business mailing address

2211 LOMAS BLVD NE
ALBUQUERQUE NM
87106-2719
US

V. Phone/Fax

Practice location:
  • Phone: 505-272-2158
  • Fax: 505-272-8053
Mailing address:
  • Phone: 505-272-2111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number685
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: