Doctor Name: | MRS. NANCY LYNN DAVIS |
NPI Number: | 1003260563 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 675723 |
Business Practice Address: | 9040 Jackson Ave, Attn: Mchj-clq-c Madigan Army Medical Center Puyallup, WA - 984311100 |
Business Phone Number: | 2539681791 |
Business Fax Number: | 2539680585 |
Mailing Address: | 8207 70th Avenue Ct E, PUYALLUP |
State: | WA |
Postal Code: | 983718718 |
Phone Number: | 2534681379 |
Fax Number: | |
NPI Enumeration Date: | 04/20/2016 |
NPI Last Update Date: | 04/20/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WM0705X |
License Number: | 675723 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Medical-Surgical |
Taxonomy Definition: |