Healthcare Provider Details
I. General information
NPI: 1922935667
Provider Name (Legal Business Name): DESERT RAIN MIDWIFERY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2904 AVENIDA ALAMOSA
SANTA FE NM
87507-0454
US
IV. Provider business mailing address
2904 AVENIDA ALAMOSA
SANTA FE NM
87507-0454
US
V. Phone/Fax
- Phone: 505-660-8174
- Fax:
- Phone: 505-660-8174
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174N00000X |
| Taxonomy | Lactation Consultant (Non-RN) |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 367A00000X |
| Taxonomy | Advanced Practice Midwife |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ELIZA
SERNA
Title or Position: BUSINESS OWNER AND FOUNDER
Credential: CNM
Phone: 505-660-8174