MEDICARE: MRS. SARA LORRAINE CHEVALLIER CPM, LM

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	176B00000X	Midwife	22005R	NM
2	175M00000X	Lay Midwife	22005R	NM

General Provider Information

NPI Number	:	1841903036
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SARA LORRAINE CHEVALLIER CPM, LM

Provider Business Mailing Address
First Line	:	3613 SOLDOTNA DR NE
Second Line	:
City	:	RIO RANCHO
State	:	NM
Zip	:	87144-5658
Country	:	US
Telephone Number	:	951-454-8571
Fax Number	:	505-393-5165

Provider Business Practice Location Address
First Line	:	4133 MONTGOMERY BLVD NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87109-6741
Country	:	US
Telephone Number	:	505-930-5641
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/03/2023
Last Update Date	:	02/04/2026

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