Individual
MRS. LINDA SUE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
4420 IRVING BLVD NW, ALBUQUERQUE, NM 87114-5915
(505) 727-6300
(505) 727-9588
Mailing address
4420 IRVING BLVD NW, ALBUQUERQUE, NM 87114-5915
(505) 727-6300
(505) 727-9588
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP00224
NM
363LF0000X
Family Nurse Practitioner
R17140
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95432752
—
NM
Enumeration date
12/31/2007
Last updated
11/30/2017
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