Individual
BRANDI DEON NORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1808 AVONDALE BLVD, CLOVIS, NM 88101-5010
(575) 309-4805
Mailing address
2000 W 21ST ST STE R1, CLOVIS, NM 88101-4098
(575) 935-0944
(575) 359-6827
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
62924
NM
Other
Enumeration date
02/22/2021
Last updated
02/22/2021
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