# MRS. CARMEN RENE DAVIS

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

## Provider details

- **NPI number:** 1457090342
- **Gender:** F
- **Credential:** MSN, RN, CCRN, CNS-B

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WC0200X | Critical Care Medicine Registered Nurse | 28145460 | IN | Yes |
| 364S00000X | Clinical Nurse Specialist | 2009009583 | IN | — |

## Other

- **Enumeration date:** 05/31/2022
- **Last updated:** 05/31/2022