Provider Demographics
NPI:1699654962
Name:TSOSIE, BEATA R
Entity type:Individual
Prefix:
First Name:BEATA
Middle Name:R
Last Name:TSOSIE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BEATA
Other - Middle Name:R
Other - Last Name:TSOSIE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DOULA
Mailing Address - Street 1:107 GREASE WOOD MARK RD
Mailing Address - Street 2:
Mailing Address - City:ESPANOLA
Mailing Address - State:NM
Mailing Address - Zip Code:87532-1316
Mailing Address - Country:US
Mailing Address - Phone:505-927-1847
Mailing Address - Fax:
Practice Address - Street 1:107 GREASE WOOD MARK RD
Practice Address - Street 2:
Practice Address - City:ESPANOLA
Practice Address - State:NM
Practice Address - Zip Code:87532-1316
Practice Address - Country:US
Practice Address - Phone:505-927-1847
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-29
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula