NPI 1215265137

Nicole Maillis, LMCPM

Practitioner Midwife Taos, NM

Practice location

Address: 5540 Ndcbu, Taos, NM 87571-6122
Phone: (575) 751-4690
Fax: (575) 751-4690

Registered specialties

Midwife Primary

Other Service Providers Taxonomy 176B00000X Licence 09060R (NM)

Other Midwife providers in New Mexico →

Registry record

NPI: 1215265137
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Dec 2009
Record last updated: 4 Dec 2009

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.