Healthcare Provider Details
I. General information
NPI: 1821337817
Provider Name (Legal Business Name): SANTA FE MIDWIFERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/11/2013
Last Update Date: 02/03/2026
Certification Date: 02/03/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1223 S SAINT FRANCIS DR STE D
SANTA FE NM
87505-4053
US
IV. Provider business mailing address
1809 ARROYO CHAMISO
SANTA FE NM
87505-5734
US
V. Phone/Fax
- Phone: 505-577-6132
- Fax:
- Phone: 505-577-6132
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LW0102X |
| Taxonomy | Women's Health Nurse Practitioner |
| License Number | 645 |
| License Number State | NM |
VIII. Authorized Official
Name:
LORI
D
PEARSON KRAMER
Title or Position: CERTIFIED NURSE-MIDWIFE
Credential: CNM
Phone: 505-577-6132