NPI 1043185820
Bertha Youngblood
Practice location
- Address
- 904 E Fairview Ln Unit B, Espanola, NM 87532-2806
- Phone
- (505) 412-5269
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1043185820
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 9 Oct 2025
- Record last updated
- 9 Oct 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.