Dr. Ann K Church
Gynecologist Obstetrician
833 E Roosevelt Ave
Grants
, New Mexico 87020-2115
Dr. Ann K Church
Gynecologist Obstetrician
833 E Roosevelt Ave
Grants
, New Mexico 87020-2115
(505) 287-6500
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About
Features
Specialties
- Gynecologist
- Obstetrician
Languages spoken
- English
Location
First Address
- Dr. Ann K Church
- 833 E Roosevelt Ave
- Grants, NM
- Zip : 87020-2115
- Phone : (505) 287-6500
Second Address
- Dr. Ann K Church
- 833 E Roosevelt Ave
- Grants, NM
- Zip : 87020-2115
- Phone : (505) 287-6500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VG0400X | Gynecologist | NM2010-0079 | NM |
| N | 207VX0000X | Obstetrician | NM2010-0079 | NM |
National Provider Identifier
| NPI | 1295700912 |
|---|---|
| Provider Name | Dr. Ann K Church |
| First Address | Grants, NM 87020-2115 |
| Second Address | Grants, NM 87020-2115 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/02/2006 |
| Last Update Date | 02/04/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 905524 | ABOG (01) | |
| BC3727837 | DEA (01) | |
| E700168 | (02) | |
| NM2010-0079 | MEDICAL LICENSE (01) | NM |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.