Individual
ELEANOR MARIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1120 E ELIZABETH ST STE 2, FORT COLLINS, CO 80524-4044
(970) 493-9193
(970) 639-4475
Mailing address
PO BOX 8, UTOPIA, TX 78884-0008
(214) 215-1616
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
764248
TX
363LF0000X
Family Nurse Practitioner
Primary
C-APN.0103209-C-NP
CO
Other
Enumeration date
11/26/2024
Last updated
01/13/2025
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