Individual
NANAHBAH KANDICE DUVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4760 N. BUTLER AVE STE D, FARMINGTON, NM 87401
(208) 607-5362
Mailing address
4760 N. BUTLER AVE STE D., FARMINGTON, NM 87401-7342
(208) 607-5362
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
55061
NM
Other
Enumeration date
07/07/2025
Last updated
02/05/2026
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