Healthcare Provider Details

I. General information

NPI: 1700790441
Provider Name (Legal Business Name): VIDA MIDWIFERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3008 GLADSTONE ST
LAS CRUCES NM
88012-0887
US

IV. Provider business mailing address

3008 GLADSTONE ST
LAS CRUCES NM
88012-0887
US

V. Phone/Fax

Practice location:
  • Phone: 575-628-8330
  • Fax: 575-339-2802
Mailing address:
  • Phone: 575-628-8330
  • Fax: 575-339-2802

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QB0400X
TaxonomyBirthing Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: EMILY LEVINGSTON LUNA
Title or Position: CO-OWNER, MIDWIFE, ADMINISTRATOR
Credential: CNM
Phone: 575-628-8330