Most Relevant Information
Provider Data
| NPI Number: | 1003184201 |
| Provider Name: | NANCY DAVIS RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 041.388546 |
Most Important Dates
| Enumeration Date: | 12/02/2011 |
| Last Updated: | 12/02/2011 |
Provider Practice Location
516 NIZHONI BLVD
GALLUP
NM
873015748
Practice Location Phone/Fax
| Phone: | 5057221000 |
| Fax: | 5057221310 |
Provider Mailing Location
PO BOX 1337
GALLUP
NM
873051337
Provider Mailing Phone/Fax
| Phone: | 5057221000 |
| Fax: | 5057221310 |