DAVITA ADANUVOR
Individual Provider (NPI-1)
Active
Nurse Practitioner, Acute Care
Provider Information
- NPI Number
1629417621- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 807 CALLE CHAMISAL, ESPANOLA, NM, 875322976
- Phone
- (505) 372-4511
Specialties & Taxonomies
Nurse Practitioner, Acute Care
Primary License: NM #CNP-02206
Nurse Practitioner, Psych/Mental Health
License: WA #AP61160839