Healthcare Provider Details

I. General information

NPI: 1497637136
Provider Name (Legal Business Name): ECHO OF EDEN MIDWIFERY-LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2025
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3613 SOLDOTNA DR NE
RIO RANCHO NM
87144-5658
US

IV. Provider business mailing address

3613 SOLDOTNA DR NE
RIO RANCHO NM
87144-5658
US

V. Phone/Fax

Practice location:
  • Phone: 951-454-8571
  • Fax:
Mailing address:
  • Phone: 951-454-8571
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State

VIII. Authorized Official

Name: MS. SARA L CHEVALLIER
Title or Position: LEAD MIDWIFE
Credential: CPM,LM
Phone: 951-454-8571