Individual
BRONWYN S DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4311 E LOHMAN AVE, LAS CRUCES, NM 88011-8255
(575) 522-4767
Mailing address
4260 NORTHRISE DR APT 1713, LAS CRUCES, NM 88011-7316
(575) 571-9915
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F01210463
NM
Other
Enumeration date
12/11/2020
Last updated
01/18/2021
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