STEVEN ALLEN DAVENPORT

FARMINGTON, NM
NPI1659901825
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NM  60646)
Enumeration Date2020-01-16
Last Update Date2020-10-07
Business Address
Mr. STEVEN ALLEN DAVENPORT FNP
301 S LAKE ST
FARMINGTON, NM 87401-5619
Phone number: 505-278-8575
Mailing Address
Mr. STEVEN ALLEN DAVENPORT FNP
405 N MOORE ST
BLOOMFIELD, NM 87413-5580
Phone number: 505-419-7921