| NPI | 1679546147 |
|---|---|
| Former Name | NANCY J. DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 44830) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 089297) |
| 163W00000X Registered Nurse (Licence: KS 81691) | |
| 163W00000X Registered Nurse (Licence: MO 089297) | |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2018-12-11 |