Fenton Family Medical LLC
NPI #1235026261 in Grants, New Mexico
Provider Information
- NPI Number
- 1235026261
- Entity Type
- Organization
- Organization Name
- Fenton Family Medical LLC
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Jun 23, 2025
- Last Updated
- Jun 23, 2025
Practice Location
- Address
- 765 E ROOSEVELT AVE
- City
- Grants
- State
- New Mexico
- ZIP Code
- 87020-2113
- Phone
- (505) 685-1347
Authorized Official
- Name
- DANIEL FENTON
- Title
- OWNER
- Phone
- (505) 315-1162
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Nurse Practitioner - Family — Family |
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