Daniels, Susan Moore

Daniels, Susan Moore is an individual health care provider with primary practice located at 5150 Journal Center Blvd Ne , Albuquerque NM 87109. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Daniels, Susan Moore can be contacted via phone (505) 727-7600.

Contact Information

Primary practice address
5150 Journal Center Blvd Ne Albuquerque NM 87109
Fax: (505) 727-7640
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X 285 New Mexico

Profile Details

NPI number 1245265222
LBN Legal business name Daniels, Susan Moore
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Aug 17th, 2011 - about 14 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 1245265222 NPPES
New Mexico MEDICAID 92999

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