Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Davita Adanuvor

Individual provider Acute Care Nurse Practitioner · NPI 1629417621

Davita Adanuvor is a Nurse Practitioner in Espanola, New Mexico. Qualified in 2021, 5 years ago. Practices with Mindful Therapy Group PC, a 646-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New Mexico and Washington.

Years since qualifying
5
Licensed in
NM, WA
In the registry since
2013
Specialties on file
2

Practice location Address checks out

807 Calle Chamisal
Espanola, NM 87532-2976
Phone: (505) 372-4511
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2211 Lomas Blvd Ne, Albuquerque, NM 87106 — (505) 272-3189
  • 1400 112th Ave Se Ste 100, Bellevue, WA 98004-6901 — (206) 769-7134

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence CNP-02206 (NM)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence AP61160839 (WA)

Record details

NPI number1629417621
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 24, 2013
Last updated in NPPESApril 26, 2023
Certification dateApril 26, 2023
Mailing address807 Calle Chamisal, Espanola, NM 87532-2976

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Mindful Therapy Group Pc — 646 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Espanola