Individual
ELIZABETH TRUDY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
701 W BROADWAY ST, SPIRO, OK 74959-2456
(918) 962-8009
(918) 962-8027
Mailing address
701 W BROADWAY ST, SPIRO, OK 74959-2456
(918) 962-8009
(918) 962-8027
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209778
OK
Other
Enumeration date
08/16/2022
Last updated
09/07/2023
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