Provider Demographics
NPI:1285690560
Name:HOBBS, LISA (CNM)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:
Last Name:HOBBS
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:509 W MAHONE DR STE B
Mailing Address - Street 2:
Mailing Address - City:ARTESIA
Mailing Address - State:NM
Mailing Address - Zip Code:88210-2074
Mailing Address - Country:US
Mailing Address - Phone:575-736-1788
Mailing Address - Fax:575-624-4071
Practice Address - Street 1:509 W MAHONE DR STE B
Practice Address - Street 2:
Practice Address - City:ARTESIA
Practice Address - State:NM
Practice Address - Zip Code:88210-2074
Practice Address - Country:US
Practice Address - Phone:575-736-1788
Practice Address - Fax:575-624-4071
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMR43311367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM00NM016425OtherBCBS
NMB6313Medicaid
NM349332103Medicare ID - Type Unspecified
NMB6313Medicaid