Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 20007R | NM |
NPI | 1033717798 |
---|---|
Provider Name | Emily Jeanne Poynton |
First Address | Roswell, NM 88201-3275 |
Second Address | Roswell, NM 88201-3275 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/10/2020 |
Last Update Date | 15/10/2020 |