Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grace Place for Women, Incorporated

Organization Obstetrics & Gynecology Physician · NPI 1104107192

Grace Place for Women, Incorporated is an Obstetrics & Gynecology Physician in Farmington, New Mexico. Licensed in New Mexico. Registered with an NPI since 2011.

Licensed in
NM
In the registry since
2011
Specialties on file
3

Practice location Address checks out

4801 N Butler Ave Ste 3102
Farmington, NM 87401-0815
Phone: (505) 327-4747
Fax: (505) 327-2025
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence MD2010-0229 (NM)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence MD2010-0578 (NM)
Physician Assistant Taxonomy 363A00000X · Licence PA2008-0053 (NM)

Record details

NPI number1104107192
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Deborah Joslin — Ceo · (505) 327-4747
NPI enumeratedSeptember 2, 2011
Last updated in NPPESMay 23, 2012
Mailing addressPo Box 2256, Farmington, NM 87499-2256

Other providers in Farmington