Individual
MS. CHRYSANTHEMUM M DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1551 SOUTH STURDY RD., VALPARAISO, IN 46383-7883
(219) 531-0200
(219) 531-0045
Mailing address
1551 SOUTH STURDY RD., VALPARAISO, IN 46383-7883
(219) 531-0200
(219) 531-0045
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71001290A
IN
363LF0000X
Family Nurse Practitioner
71001290B
IN
Other
Enumeration date
06/06/2008
Last updated
09/28/2012
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