Doctor Name: | MS. TINA M. DAVIS-LARKIN |
NPI Number: | 1023240587 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN |
License Number: | 209006718 |
Business Practice Address: | 4440 W 95th St Oak Lawn, IL - 604532600 |
Business Phone Number: | 7086844116 |
Business Fax Number: | 7086844272 |
Mailing Address: | 8043 S Fairfield Ave, CHICAGO |
State: | IL |
Postal Code: | 606522717 |
Phone Number: | 7086844116 |
Fax Number: | 7086844272 |
NPI Enumeration Date: | 08/18/2009 |
NPI Last Update Date: | 08/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WX0002X |
License Number: | 209006718 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Obstetric, High-Risk |
Taxonomy Definition: |