IndividualActive
Marissa Evarts, LICE MIDWIFE
NPI 1972350692 · Midwife · Albuquerque, NM
Provider details
- NPI number
- 1972350692
- Entity type
- Individual
- Primary specialty
- MidwifeOther Service Providers
- Credential
- LICE MIDWIFE
- Sex
- Female
- Sole proprietor
- Yes
- License
- 23006R (NM)
Specialties & taxonomies
Other Service Providers
Practice location
2510 Rio Grande Blvd Nw
Albuquerque, NM 87104-3224
Phone: (505) 375-1397
Fax: (505) 431-4774
Approximate (ZIP-level) locationGet directions
Mailing address
2002 Five Points Rd Sw
Albuquerque, NM 87105-3042
Registry dates
- Enumerated
- 2024-05-01
- Last updated
- 2025-02-05
- Certified
- 2025-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.