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Individual
MRS. CARMEN RENE DAVIS
Active
Individual
MRS. CARMEN RENE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN, CCRN, CNS-B
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
28145460
IN
364S00000X
Clinical Nurse Specialist
2009009583
IN
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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