Kezia Elizabeth Tatham, CNM
Advanced Practice Midwife in Albuquerque, NM. Individual provider (NPI-1).
NPI number1831985472
StatusActive
Last updated in NPPESAug 12, 2025
Details
- NPI
- 1831985472
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kezia Elizabeth Tatham
- Credential
- CNM
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 18, 2025
- Certification date
- Aug 12, 2025
- Last updated
- Aug 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 915 | NM | Yes |
Practice location
3630 Las Estancias Dr SwObstetrics And Gynecology
Albuquerque, NM 87121-5504
Phone 505-462-7777 · Fax 505-462-7726
Mailing address
Po Box 26666Phs Provider Enrollment
Albuquerque, NM 87125-6666
Phone 917-530-3041
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