Organization · Type 2 NPI
Fenton Family Medical LLC
Family Nurse Practitioner · Grants, NM
NPI number
1235026261
Active
Practice location
765 E Roosevelt Ave
Grants, NM 87020-2113
Mailing address
824 Houston Ave
Grants, NM 87020-3017
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
About NPI 1235026261
Fenton Family Medical LLC's National Provider Identifier is 1235026261, issued on Jun 23, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Grants, NM. The record was last updated on Jun 23, 2025.