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Individual

AMANDA BROOKE DAVALOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C, FNP-BC

Contact information

Practice address
598 E 13TH AVE, EUGENE, OR 97401-4783
(541) 636-3473
Mailing address
600 JEFFERSON ST STE 600, LAFAYETTE, LA 70501-6987

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1056015
TX
363LF0000X
Family Nurse Practitioner
Primary
10009957
OR
363LF0000X
Family Nurse Practitioner
1056015
TX
363LF0000X
Family Nurse Practitioner
13381053-4405
UT
363LF0000X
Family Nurse Practitioner
C-APN.0100776-C-NP
CO

Other

Enumeration date
10/26/2021
Last updated
08/15/2025
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