Individual
DEIRDRE A DAVIS
Active
Individual
DEIRDRE A DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
356194
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00224100
NJ
367500000X
Certified Registered Nurse Anesthetist
356194-1
NY
Other
Enumeration date
06/27/2005
Last updated
02/22/2019
Update your record
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