Doctor Name: | MRS. MARLA DAVY |
NPI Number: | 1053784587 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | AP128318 |
Business Practice Address: | 101 S Us Highway 75 Denison, TX - 750201553 |
Business Phone Number: | 9034630003 |
Business Fax Number: | 9034630011 |
Mailing Address: | 101 S Us Highway 75, DENISON |
State: | TX |
Postal Code: | 750201553 |
Phone Number: | 9034630003 |
Fax Number: | 9034630011 |
NPI Enumeration Date: | 11/05/2015 |
NPI Last Update Date: | 11/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP128318 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |