Individual
CHANTEL DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
436 5TH AVE, KOTZEBUE, AK 99752
(907) 442-7259
Mailing address
PO BOX 3884, LAS VEGAS, NM 87701-6884
(505) 429-7026
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN-85581
NM
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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