MEDICARE: ALUMBRA WOMEN'S HEALTH AND MATERNITY CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367A00000X	Advanced Practice Midwife

General Provider Information

NPI Number	:	1588983472
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALUMBRA WOMEN'S HEALTH AND MATERNITY CARE

Provider Business Mailing Address
First Line	:	555 N LUNA DR
Second Line	:
City	:	LAS VEGAS
State	:	NM
Zip	:	87701-9779
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1900 HOT SPRINGS BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NM
Zip	:	87701-3481
Country	:	US
Telephone Number	:	505-718-8100
Fax Number	:

Authorized Official
Title or Position	:	CERTIFIED NURSE-MIDWIFE
Name	:	CONNIE J TRUJILLO
Credential	:
Telephone Number	:	505-718-8100

Provider Enumeration Date	:	05/18/2010
Last Update Date	:	05/18/2010

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Directions to “ALUMBRA WOMEN'S HEALTH AND MATERNITY CARE ” Practice Location

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