Healthcare Provider Details

I. General information

NPI: 1093532970
Provider Name (Legal Business Name): SARAH HINTZ DNP, APRN, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH BERNARD DNP, APRN, CNM

II. Dates (important events)

Enumeration Date: 09/23/2024
Last Update Date: 03/08/2026
Certification Date: 03/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 SPRUCE ST 3RD, FL AREA 2 ESPANOLA, NM 87532-2724 OBSTETRICS AND GYNECOLOGY- ESPANOLA
ESPANOLA NM
87532-2724
US

IV. Provider business mailing address

PO BOX 26666
ALBUQUERQUE NM
87125-6666
US

V. Phone/Fax

Practice location:
  • Phone: 505-367-0340
  • Fax: 505-367-0346
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number890
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: