Individual
DR. DAVINA L VEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
405 W COUNTRY CLUB RD, ROSWELL, NM 88201-5209
(575) 622-8170
Mailing address
5306 W HASAN DR, LAVEEN, AZ 85339-9682
(907) 331-7837
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN201401
AZ
363L00000X
Nurse Practitioner
Primary
259453
AZ
363LF0000X
Family Nurse Practitioner
259453
AZ
Other
Enumeration date
05/16/2021
Last updated
07/10/2021
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