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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. JULIA ANN BLACK, CNM, RN

Active Sole Proprietor

Advanced Practice Midwife · LOS LUNAS, NM

Registration Details

NPI Number
1760054878
Provider Type
Individual
Gender
Female
NPI Issued
Jul 16, 2021 (4.7691729885048 yrs)
Last Updated
Aug 15, 2025
Licenses
56184 (NM)
56184 (NM)
911 (NM)
Sole Proprietor
Yes

Practice Information

Address
1111 CARRIZO ST NW
LOS LUNAS, NM, 870316934
Browse NM providers · Browse ZIP 87031
Phone
5756549631
Primary Specialty
Advanced Practice Midwife
367A00000X
Additional Specialty
Advanced Practice Midwife

Other Advanced Practice Midwife Providers in LOS LUNAS, NM

Name Credential NPI
AUDREY JESSUP CNM 1780405035
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.