Doctor Name: | PATRICIA R DUVAL |
NPI Number: | 1053486381 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | R27029 |
Business Practice Address: | 308 E Hill Ave Gallup, NM - 873016155 |
Business Phone Number: | 5057226770 |
Business Fax Number: | 5057226799 |
Mailing Address: | 308 E Hill Ave, GALLUP |
State: | NM |
Postal Code: | 873016155 |
Phone Number: | 5057226770 |
Fax Number: | 5057226799 |
NPI Enumeration Date: | 11/21/2006 |
NPI Last Update Date: | 11/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R27029 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |