Colton, Mary Magdalena

Colton, Mary Magdalena is an individual health care provider with primary practice located at 516 E. Nizhoni Blvd. Box 1337, Gallup NM 87301-1337. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Colton, Mary Magdalena can be contacted via phone (505) 722-1000.

Contact Information

Primary practice address
516 E. Nizhoni Blvd. Box 1337 Gallup NM 87301-1337
Phone: (505) 722-1000
Fax: (505) 722-1268
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R44205 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 444 New Mexico

Profile Details

NPI number 1811921943
LBN Legal business name Colton, Mary Magdalena
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Apr 11th, 2008 - about 17 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 1811921943 NPPES
New Mexico MEDICAID 000Z4706
New Mexico MEDICAID 810532

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