Provider Demographics
NPI:1427605666
Name:LEVINGSTON LUNA, EMILY (CNM)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:LEVINGSTON LUNA
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 1:138 W MOUNTAIN AVE
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88005-1827
Mailing Address - Country:US
Mailing Address - Phone:575-649-9682
Mailing Address - Fax:
Practice Address - Street 1:138 W MOUNTAIN AVE
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88005-1827
Practice Address - Country:US
Practice Address - Phone:575-649-9682
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-22
Last Update Date:2019-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP142268367A00000X
NM759367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife