NPI 1720489933

Melissa Penn, CNM

Practitioner Advanced Practice Midwife Gallup, NM

Practice location

Address: 516 E Nizhoni Blvd, Gallup, NM 87301-5748
Phone: (505) 722-1000
Mailing address: 516a W Mesa Ave, Gallup, NM 87301-6466

Registered specialties

Advanced Practice Midwife Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence 3008763 (KY)

Other Advanced Practice Midwife providers in New Mexico →

Registry record

NPI: 1720489933
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Sep 2014
Record last updated: 7 Sep 2014

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.