Healthcare Provider Details

I. General information

NPI: 1609790930
Provider Name (Legal Business Name): RUE FLOWER EQUITY IN WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 ALISO DR SE
ALBUQUERQUE NM
87108-2693
US

IV. Provider business mailing address

120 ALISO DR SE
ALBUQUERQUE NM
87108-2693
US

V. Phone/Fax

Practice location:
  • Phone: 505-405-8026
  • Fax: 505-207-7765
Mailing address:
  • Phone: 505-405-8026
  • Fax: 505-207-7765

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name: TAMARA JOY GARDNER
Title or Position: EXECUTIVE DIRECTOR
Credential: APRN
Phone: 505-405-8026