| Miss Hannah Marie Cronbaugh, CNM | |
|
655 W Pinon St, Farmington, NM 87401-5973 | |
| (505) 609-2590 | |
| (505) 609-2595 |
| Full Name | Miss Hannah Marie Cronbaugh |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 655 W Pinon St, Farmington, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134693690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | CNM04542 (New Mexico) | Primary |
| Entity Name | St Lukes Clinic-treasure Valley Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Hannah Marie Cronbaugh, CNM Po Box 6210, Farmington, NM 87499-6210 Ph: (505) 609-2258 | Miss Hannah Marie Cronbaugh, CNM 655 W Pinon St, Farmington, NM 87401-5973 Ph: (505) 609-2590 |
Carol Lynn Ewing, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 655 W Pinon St, Farmington, NM 87401 Phone: 505-609-2590 Fax: 505-609-2595 | |
Kaede Johnson, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 3112 N Mountain View Dr, Farmington, NM 87401 Phone: 831-402-9404 | |
Anne Holmes Miller, RN, CNM, MS Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 655 W Pinon St, Farmington, NM 87401 Phone: 505-609-2590 Fax: 505-609-2595 |