# MR. EMMANUEL DAVIS ALFRED

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1306671094
- **Gender:** Man
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 10000505 | OR | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 1176256 | TX | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | AP61609084 | WA | Yes |

## Other

- **Enumeration date:** 09/03/2024
- **Last updated:** 09/05/2026