Penny Davidson

NPI Registration Record

Provider / OrganizationNPIDate Certified
PENNY DAVIDSON15580503512023-05-06

Penny Davidson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1558050351. Registration indicates Penny Davidson is a provider of services with a specialization in Other Service Providers, Case Manager/Care Coordinator (Case Manager/Care Coordinator, ) (All Other Specialties & Provider Types, ) (Case Manager/Care Coordinator, Other Service Providers)

Entity TypeIndividual
Provider Name Penny Davidson CCSS
Practice Office Address614 BECKER AVE
Practice Office Telephone5758354357
Practice Office Fax5055140732
Mailing AddressPO BOX 456
BELEN, NM 870020456 US
Business Telephone5758354357
HPT Codes
License No
171M00000X PRIMARY
Other Service Providers
Case Manager/Care Coordinator
Case Manager/Care Coordinator

All Other Specialties & Provider Types

Case Manager/Care Coordinator
Other Service Providers
OPI Codes
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