Cristina Davis, CNP

Individual provider Active NPI Nurse Practitioner · Hatch, NM

NPI 1184874471 · NPPES record last updated Sep 24, 2008

Key facts

NPI
1184874471
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
R46581 (NM)
Practice address
255 Hwy 187
Hatch, NM 87937
Phone
(575) 267-3088
Fax
(575) 267-1747
NPI assigned
Sep 24, 2008
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R46581NMMDNurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R46581 NM Yes

Addresses

Primary practice location

255 Hwy 187
Hatch, NM 87937

Mailing address

PO Box 370
Hatch, NM 87937-0370
Phone (575) 267-3280

Other names

  • Cristina Cardon Former name

Other providers in Hatch, NM

All providers in Hatch, NM · Nurse Practitioner in New Mexico

Sources for this page

Verify at the official NPI Registry.