NPI 1043716582
Tammy Lynn Davis
Practice location
- Address
- 1 Opera House Rd, Madrid, NM 87010-9760
- Phone
- (505) 225-4092
- Mailing address
- PO Box 845, Cerrillos, NM 87010-0845
Registered specialties (2)
Health Educator
Primary
Nutrition Education Nutritionist
Registry record
- NPI
- 1043716582
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 3 Apr 2018
- Record last updated
- 3 Apr 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.