Ansell, Carolyn J

Ansell, Carolyn J is an individual health care provider with primary practice located at 4705 Montgomery Ne Ste 301-302, Albuquerque NM 87109. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Ansell, Carolyn J can be contacted via phone (505) 787-7600.

Contact Information

Primary practice address
4705 Montgomery Ne Ste 301-302 Albuquerque NM 87109
Fax: (505) 787-7640
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X 318 New Mexico

Profile Details

NPI number 1073546560
LBN Legal business name Ansell, Carolyn J
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073546560 NPPES
New Mexico MEDICAID 97376

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