| Doctor Name: | LAURA DAVIDSON |
| NPI Number: | 1003105073 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | AP3939 |
| Business Practice Address: | 630 N Alvernon Way Ste 161 Tucson, AZ - 857111895 |
| Business Phone Number: | 5203189222 |
| Business Fax Number: | 5203189094 |
| Mailing Address: | 630 N Alvernon Way Ste 161, TUCSON |
| State: | AZ |
| Postal Code: | 857111895 |
| Phone Number: | 5203189222 |
| Fax Number: | 5203189094 |
| NPI Enumeration Date: | 03/30/2011 |
| NPI Last Update Date: | 09/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | AP3939 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |