SHANNON REA DAVIS

EAGLE RIVER, AK
NPI1508261702
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AK  148870)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: AK  148870)
363L00000X Nurse Practitioner
(Licence: TN  21452)
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WA  AP61119130)
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AZ  243410)
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MT  233985)
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR  202105062NPPP)
Enumeration Date2014-10-30
Last Update Date2024-03-02
Business Address
SHANNON REA DAVIS NP-C , PMHNP
17051 MERCY DR STE 204
EAGLE RIVER, AK 99577-7630
Phone number: 907-696-0096
Mailing Address
SHANNON REA DAVIS NP-C , PMHNP
PO BOX 772852
EAGLE RIVER, AK 99577-2852
Phone number: 907-696-0096