| Doctor Name: | DR. DAVENA MARIE NORRIS |
| NPI Number: | 1063708261 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHARMD, RPH |
| License Number: | IN00003099 |
| Business Practice Address: | 2808 Azar Pl Nw Albuquerque, NM - 871041802 |
| Business Phone Number: | 5756367326 |
| Business Fax Number: | |
| Mailing Address: | 1321 E Allen Rd, Unit B TUCSON |
| State: | AZ |
| Postal Code: | 857191458 |
| Phone Number: | 5756367326 |
| Fax Number: | |
| NPI Enumeration Date: | 06/26/2011 |
| NPI Last Update Date: | 08/01/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | IN00003099 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NM |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |