Doctor Name: | DEEYA DAVIS |
NPI Number: | 1043418064 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | RN 2726532 |
Business Practice Address: | 5527 Stewart St Milton, FL - 325704303 |
Business Phone Number: | 8509835200 |
Business Fax Number: | 8509834816 |
Mailing Address: | Po Box 929, MILTON |
State: | FL |
Postal Code: | 325720929 |
Phone Number: | 8509835200 |
Fax Number: | 8509834816 |
NPI Enumeration Date: | 07/11/2007 |
NPI Last Update Date: | 07/11/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | RN 2726532 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |