Davenport-Deves, Felicia
Davenport-Deves, Felicia is an individual health care provider with primary practice located at 3301 Southern Blvd Se Ste 105 , Rio Rancho NM 87124-5859. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Davenport-Deves, Felicia can be contacted via phone (505) 270-0840.Contact Information
Primary practice address
3301 Southern Blvd Se Ste 105
Rio Rancho NM 87124-5859
Phone: (505) 270-0840
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | 1058 | New Mexico |
Profile Details
| NPI number | 1063145753 |
|---|---|
| LBN Legal business name | Davenport-Deves, Felicia |
| Credentials | CPSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2022 |
| Last updated | Jul 8th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063145753 | NPPES |
| New Mexico | MEDICAID | 122345891 |
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