BRONWYN S DAVIS

LAS CRUCES, NM
NPI1174119309
Former NameBRONWYN S FREDERICKSEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NM  F01210463)
Enumeration Date2020-12-11
Last Update Date2021-01-18
Business Address
BRONWYN S DAVIS FNP
4311 E LOHMAN AVE
LAS CRUCES, NM 88011-8255
Phone number: 575-522-4767
Mailing Address
BRONWYN S DAVIS FNP
4260 NORTHRISE DR APT 1713
LAS CRUCES, NM 88011-7316
Phone number: 575-571-9915