Doctor Name: | MS. GAYLA MARIE DAVIS |
NPI Number: | 1033567375 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, ARNP, FNP-BC |
License Number: | A114118 |
Business Practice Address: | 129 8th Ave Se Oelwein, IA - 506622352 |
Business Phone Number: | 3192836153 |
Business Fax Number: | 3192836151 |
Mailing Address: | 129 8th Ave Se, OELWEIN |
State: | IA |
Postal Code: | 506622352 |
Phone Number: | 3192836153 |
Fax Number: | 3192836151 |
NPI Enumeration Date: | 05/26/2016 |
NPI Last Update Date: | 05/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | A114118 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |