=====================================================
General NPI Number Information
=====================================================
NPI Number | 1285903328
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SARA MARIE SANCHEZ L.M, C.P.M
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/19/2011
-----------------------------------------------------
Last Update Date | 02/17/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 715 E IDAHO AVE STE 3A
-----------------------------------------------------
City | LAS CRUCES
-----------------------------------------------------
State | NM
-----------------------------------------------------
Zip | 88001-4702
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 575-571-9008
-----------------------------------------------------
Fax | 575-993-5108
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 308
-----------------------------------------------------
City | RADIUM SPRINGS
-----------------------------------------------------
State | NM
-----------------------------------------------------
Zip | 88054-0308
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 575-571-9008
-----------------------------------------------------
Fax | 575-993-5108
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 176B00000X
-----------------------------------------------------
Taxonomy Name | Midwife
-----------------------------------------------------
License Number | 11092R
-----------------------------------------------------
License Number State | NM
-----------------------------------------------------