Healthcare Provider Details

I. General information

NPI: 1285690560
Provider Name (Legal Business Name): LISA HOBBS CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2006
Last Update Date: 10/10/2023
Certification Date: 10/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 W MAHONE DR STE B
ARTESIA NM
88210-2074
US

IV. Provider business mailing address

509 W MAHONE DR STE B
ARTESIA NM
88210-2074
US

V. Phone/Fax

Practice location:
  • Phone: 575-736-1788
  • Fax: 575-624-4071
Mailing address:
  • Phone: 575-736-1788
  • Fax: 575-624-4071

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberR43311
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: