Individual
DANIEL EDWARD FENTON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
801 E ROOSEVELT AVE, GRANTS, NM 87020-2115
(505) 658-1347
(866) 422-1014
Mailing address
824 HOUSTON AVE, GRANTS, NM 87020-3017
(505) 315-1162
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN-70242
NM
Other
Enumeration date
11/09/2018
Last updated
10/11/2022
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