Provider Demographics
NPI:1487998639
Name:CHANEY, CHRISTINA C (CNM)
Entity type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:C
Last Name:CHANEY
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Gender:F
Credentials:CNM
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Mailing Address - Street 1:4705 MONTGOMERY BLVD NE STE 301
Mailing Address - Street 2:LOVELACE MEDICAL GROUP
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-1234
Mailing Address - Country:US
Mailing Address - Phone:505-727-4500
Mailing Address - Fax:505-727-4500
Practice Address - Street 1:4705 MONTGOMERY BLVD NE
Practice Address - Street 2:SUITE 301
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-1226
Practice Address - Country:US
Practice Address - Phone:505-727-4500
Practice Address - Fax:505-727-4505
Is Sole Proprietor?:No
Enumeration Date:2012-11-11
Last Update Date:2015-08-10
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Provider Licenses
StateLicense IDTaxonomies
NM638367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM36308277Medicaid
NM36308277Medicaid