Individual
HEATHER DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2400 MIAMI VALLEY DR, CENTERVILLE, OH 45459-4774
(937) 438-2400
Mailing address
1126 FAIRACRES RD, RICHMOND, IN 47374-1146
(703) 200-6791
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.0033627
OH
363LC0200X
Critical Care Medicine Nurse Practitioner
APRN.CNP.0033627
OH
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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