Organization · NPI-2

Breath Of My Heart Birthplace

Nurse Practitioner, Primary Care · Espanola, NM

NPI number1780126433

StatusActive

Last updated in NPPESMay 1, 2026

Details

NPI: 1780126433
Entity type: Organization (NPI-2)
Legal business name: Breath Of My Heart Birthplace
Organization subpart: No
Enumeration date: Nov 11, 2016
Certification date: May 1, 2026
Last updated: May 1, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LP2300X	Nurse Practitioner, Primary Care	–	–	Yes
261QB0400X	Clinic/Center, Birthing	–	–
176B00000X	Midwife	–	–

Practice location

905 Calle Armada
Espanola, NM 87532

Phone 505-753-0505 · Fax 505-212-0420

Mailing address

905 Calle Armada
Espanola, NM 87532

Phone 505-753-0505 · Fax 505-212-0420

Authorized official

Jeanette A Tsosie
Operations Director
5057530505

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