Individual
CRISTYN RENE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
426 8TH ST STE 305, GLEN DALE, WV 26038-1451
(304) 559-3491
Mailing address
426 8TH ST STE 305, GLEN DALE, WV 26038-1451
(304) 559-3491
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
108102
WV
Other
Enumeration date
01/11/2021
Last updated
07/29/2021
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