MEDICARE: LAURA ANN GILLISPIE CNM

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	R27942	TX
2	367A00000X	Advanced Practice Midwife	541	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	#541	OTHER	NM	NM DEPT. OF HEALTH
2	24992	OTHER	NM	AM. COLLEGE NURSE MIDWIVE

General Provider Information

NPI Number	:	1952404469
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA ANN GILLISPIE CNM

Provider Business Mailing Address
First Line	:	PO BOX 680
Second Line	:
City	:	SILVER CITY
State	:	NM
Zip	:	88062-0680
Country	:	US
Telephone Number	:	575-538-6014
Fax Number	:	575-538-6017

Provider Business Practice Location Address
First Line	:	1000 W COLLEGE AVE STE 147
Second Line	:
City	:	SILVER CITY
State	:	NM
Zip	:	88061-4112
Country	:	US
Telephone Number	:	575-538-6014
Fax Number	:	575-538-6017

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

Provider Enumeration Date	:	09/07/2006
Last Update Date	:	02/04/2016

Similar Medicare Providers

1770419756 — ASHLEE DANIELLE NOLAN
Practice Location Address:

1000 W COLLEGE AVE
SILVER CITY, NM
88061-4112

Practice Phone: 575-538-6120
Practice Fax:

1144759622 — BRITTANY LEIGH CHIAPETTI
Practice Location Address:

1000 W COLLEGE AVE
SILVER CITY, NM
88061-4112

Practice Phone: 505-297-4092
Practice Fax:

1174041198 — ELIZABETH PENA ATC
Practice Location Address:

1000 W COLLEGE AVE
SILVER CITY, NM
88061-4112

Practice Phone: 575-538-6236
Practice Fax:

1407359185 — JASMINE ELAINE SUCCES ATC
Practice Location Address:

1000 W COLLEGE AVE
SILVER CITY, NM
88061-4112

Practice Phone: 682-402-3672
Practice Fax:

1871719047 — DR. CHARLES J FOGELMAN PH.D.
Practice Location Address:

1009 S MANSION DR
SILVER SPRING, MD
20910-4112

Practice Phone: 301-587-0005
Practice Fax:

1790717411 — DR. NANCY L LANTHORN PH.D.
Practice Location Address:

704 E WATAUGA AVE
JOHNSON CITY, TN
37601-4112

Practice Phone: 423-202-3211
Practice Fax:

Directions to “ LAURA ANN GILLISPIE CNM” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.