Doctor Name: | MONICA A DAVIS |
NPI Number: | 1255564555 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPN |
License Number: | LP 60066246 |
Business Practice Address: | 11000 Sw Barbur Blvd Suite 200 Portland, OR - 972198691 |
Business Phone Number: | 5034527979 |
Business Fax Number: | |
Mailing Address: | 5415 Ne 29th Cir, VANCOUVER |
State: | WA |
Postal Code: | 986616982 |
Phone Number: | 5032061027 |
Fax Number: | |
NPI Enumeration Date: | 09/02/2009 |
NPI Last Update Date: | 09/02/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 164W00000X |
License Number: | LP 60066246 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Licensed Practical Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |