Provider Demographics
NPI:1013241975
Name:LUDWIG, ELLEN (LICENSED MIDWIFE)
Entity type:Individual
Prefix:MS
First Name:ELLEN
Middle Name:
Last Name:LUDWIG
Suffix:
Gender:F
Credentials:LICENSED MIDWIFE
Other - Prefix:MS
Other - First Name:RAMONA
Other - Middle Name:ELLEN
Other - Last Name:LUDWIG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LM
Mailing Address - Street 1:1005 SIRINGO RONDO E
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87507-5015
Mailing Address - Country:US
Mailing Address - Phone:505-473-0246
Mailing Address - Fax:505-753-0599
Practice Address - Street 1:1005 SIRINGO RONDO E
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87507-5015
Practice Address - Country:US
Practice Address - Phone:505-473-0246
Practice Address - Fax:505-753-0599
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-25
Last Update Date:2013-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NML13701164X00000X
NM04004R176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse
No176B00000XOther Service ProvidersMidwife