Individual
LILLIAN HELEN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
800 WHEELING AVE, GLEN DALE, WV 26038-1660
(304) 843-3313
Mailing address
PO BOX 855, NEW CUMBERLAND, WV 26047-0855
(267) 864-6853
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
114433
WV
363LF0000X
Family Nurse Practitioner
Primary
SP030228
PA
Other
Enumeration date
08/28/2024
Last updated
08/12/2025
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