| Doctor Name: | MRS. HEATHER R DAVIS |
| NPI Number: | 1225451040 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | RN.315460 |
| Business Practice Address: | 7730 Staley Rd New Carlisle, OH - 453449751 |
| Business Phone Number: | 9378453278 |
| Business Fax Number: | |
| Mailing Address: | 7730 Staley Rd, NEW CARLISLE |
| State: | OH |
| Postal Code: | 453449751 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 01/30/2014 |
| NPI Last Update Date: | 01/30/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WG0000X |
| License Number: | RN.315460 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | General Practice |
| Taxonomy Definition: | |