Individual
NEDRA TENLEY DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1206 FORREST AVE, DOVER, DE 19904-3311
(877) 286-5115
Mailing address
1778 PEACHTREE RUN, MAGNOLIA, DE 19962-1805
(302) 212-9009
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
L1-0043224
DE
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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