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Contact Information

DAVITA ADANUVOR
807 CALLE CHAMISAL
ESPAÑOLA, NM87532-2976
 Phone: 505-372-4511
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for DAVITA ADANUVOR · (Female)

NPI Number 1629417621
Status Active
Credentials
Entity Individual
Enumeration date 06/24/2013
Last updated 04/26/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NM License # CNP-02206
  • WA License # AP61160839
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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